Provider Demographics
NPI:1215756549
Name:MCLAUGHLIN, AGGIE JEAN
Entity type:Individual
Prefix:
First Name:AGGIE
Middle Name:JEAN
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11855 EDGEWATER DR APT 208
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-1765
Mailing Address - Country:US
Mailing Address - Phone:216-835-3075
Mailing Address - Fax:
Practice Address - Street 1:11855 EDGEWATER DR APT 208
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-1765
Practice Address - Country:US
Practice Address - Phone:216-835-3075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services