Individual
DVORA INDICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3033 CENTRAL AVE, CLEVELAND, OH 44115-3044
(216) 621-0612
Mailing address
3033 CENTRAL AVE, CLEVELAND, OH 44115-3044
(216) 621-0612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
OH3161921
OH
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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