Most Relevant Information
Provider Data
| NPI Number: | 1003590084 |
| Provider Name: | AUDREE ALICK |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/12/2023 |
| Last Updated: | 06/12/2023 |
Provider Practice Location
12041 RAVENNA RD
CHARDON
OH
440247008
Practice Location Phone/Fax
| Phone: | 4402867154 |
| Fax: | 4402861037 |
Provider Mailing Location
12041 RAVENNA RD
CHARDON
OH
440247008
Provider Mailing Phone/Fax
| Phone: | 4402867154 |
| Fax: | 4402861037 |