Individual
GAIL ANN BOUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4046 HARWOOD RD, SOUTH EUCLID, OH 44121-2737
(216) 213-2954
Mailing address
4046 HARWOOD RD, SOUTH EUCLID, OH 44121-2737
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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