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Christine Marie Kofol

Community/Behavioral Health in Mentor, OH. Individual provider (NPI-1).

NPI number1982181673
StatusActive
Last updated in NPPESJul 25, 2018

Details

NPI
1982181673
Entity type
Individual (NPI-1)
Name
Mrs. Christine Marie Kofol
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 25, 2018
Last updated
Jul 25, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

9220 Mentor Ave
Mentor, OH 44060-6412

Phone 440-354-9924

Mailing address

9220 Mentor Ave
Mentor, OH 44060-6412

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