Individual
EVAN LASHON MCDUFFIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16402 ARCADE AVE, CLEVELAND, OH 44110-1610
(216) 860-8887
Mailing address
16402 ARCADE AVE, CLEVELAND, OH 44110-1610
(216) 860-8887
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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