Dr Lugenia Small Llc | |
2394 Pendleton Ct Avon OH 44011-2647 | |
(609) 665-1102 | |
Not Available |
Full Name | Dr Lugenia Small Llc |
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Speciality | Counselor - Mental Health |
Location | 2394 Pendleton Ct, Avon, Ohio |
Authorized Official Name and Position | Lugenia Small (OWNER) |
Authorized Official Contact | 6096651102 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr Lugenia Small Llc 2394 Pendleton Ct Avon OH 44011-2647 Ph: () - | Dr Lugenia Small Llc 2394 Pendleton Ct Avon OH 44011-2647 Ph: (609) 665-1102 |
NPI Number | 1366033755 |
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Provider Enumeration Date | 01/29/2021 |
Last Update Date | 01/29/2021 |
Certification Date | 01/29/2021 |
Identifier | Type | State | Issuer |
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1366033755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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