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Haley Nicole Black

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

NPI number1194438457
StatusActive
Last updated in NPPESJan 3, 2023

Details

NPI
1194438457
Entity type
Individual (NPI-1)
Name
Haley Nicole Black
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 3, 2023
Certification date
Jan 3, 2023
Last updated
Jan 3, 2023

Taxonomy and licenses

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

Practice location

4300 Lynn Rd Ste 201
Ravenna, OH 44266-7838

Phone 216-264-0008

Mailing address

4300 Lynn Rd Ste 201
Ravenna, OH 44266-7838

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