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Laveesha Grace

Case Manager/Care Coordinator in Willoughby, OH. Individual provider (NPI-1).

NPI number1164071833
StatusActive
Last updated in NPPESSep 5, 2019

Details

NPI
1164071833
Entity type
Individual (NPI-1)
Name
Laveesha Grace
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 5, 2019
Last updated
Sep 5, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

38882 Mentor Ave
Willoughby, OH 44094-7875

Phone 440-578-8200

Mailing address

38882 Mentor Ave
Willoughby, OH 44094-7875

Phone 440-578-8200

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