Most Relevant Information
Provider Data
| NPI Number: | 1003488230 |
| Provider Name: | ANTOINETTE MARLENE WHITT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/16/2021 |
| Last Updated: | 07/16/2021 |
Provider Practice Location
3622 PROSPECT AVE E
CLEVELAND
OH
441152704
Practice Location Phone/Fax
| Phone: | 2164314600 |
| Fax: |
Provider Mailing Location
15318 TURNEY RD
MAPLE HEIGHTS
OH
441374844
Provider Mailing Phone/Fax
| Phone: | 2166099051 |
| Fax: |