Mark Kaselak

NPI #1295382208 in Lorain, Ohio

Provider Information

NPI Number: 1295382208
Entity Type: Individual
Name: Mark Kaselak
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Aug 23, 2019
Last Updated: Aug 23, 2019

Practice Location

Address: 1939 OBERLIN AVE
City: Lorain
State: Ohio
ZIP Code: 44052-3959
Phone: (440) 963-7042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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