Provider Information for 1972864478
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Mrs. ALLISON M CRAIG LISW-S
Sex: Female
NPI: 1972864478
Last Updated: 2012-06-01
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1972864478 | ||||||||||||
| Enumeration Date | 2012-06-01 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3818 AVONDALE RD BEACHWOOD, OH 44122-4506 United States Phone: 216-470-5829 | Fax: | ||||||||||||
| Primary Practice Address | 22639 EUCLID AVE EUCLID, OH 44117-1622 United States Phone: 216-404-1900 | Fax: | ||||||||||||
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