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Individual

BROOKLYN GALLANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
24865 DETROIT RD, WESTLAKE, OH 44145-2512
(440) 250-8800
(440) 641-1170
Mailing address
25151 BROOKPARK RD APT 1110, NORTH OLMSTED, OH 44070-6410

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
OH

Other

Enumeration date
07/05/2022
Last updated
07/05/2022
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