Most Relevant Information
Provider Data
| NPI Number: | 1003651902 |
| Provider Name: | CHANNON COTTON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/01/2024 |
| Last Updated: | 07/01/2024 |
Provider Practice Location
25701 N LAKELAND BLVD STE 403
EUCLID
OH
441322453
Practice Location Phone/Fax
| Phone: | 2167731612 |
| Fax: |
Provider Mailing Location
25701 N LAKELAND BLVD STE 403
EUCLID
OH
441322453
Provider Mailing Phone/Fax
| Phone: | 2167731612 |
| Fax: |