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Individual

DEVAUN CHURCHYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
QMHS

Contact information

Practice address
13422 KINSMAN RD, CLEVELAND, OH 44120-4410
(216) 283-4400
Mailing address
210 1/2 JUSTICE ST, FREMONT, OH 43420-2421

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
03/28/2018
Last updated
03/28/2018
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