Individual
MISS LANA MARIE KHADDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
3737 LANDER RD, PEPPER PIKE, OH 44124-5712
(216) 831-2255
Mailing address
3737 LANDER RD, PEPPER PIKE, OH 44124-5712
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2002315-TRNE
OH
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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