Individual
MARY KALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2923 RUSSELL AVE, PARMA, OH 44134-1937
(216) 235-0390
Mailing address
2923 RUSSELL AVE, PARMA, OH 44134-1937
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
OH3054190
OH
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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