Individual
KATELYNN NICOLE MCILVAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8445 MUNSON RD, MENTOR, OH 44060-2410
(440) 205-2441
(440) 205-2441
Mailing address
8445 MUNSON RD, MENTOR, OH 44060-2410
(440) 205-2441
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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