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Therapeutic Associates

Social Worker, Clinical in Boardman, OH. Organization (NPI-2).

NPI number1982128674
StatusActive
Last updated in NPPESOct 23, 2017

Details

NPI
1982128674
Entity type
Organization (NPI-2)
Legal business name
Therapeutic Associates
Organization subpart
No
Enumeration date
Aug 3, 2017
Last updated
Oct 23, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalI.1500779-SUPVOHYes
101YM0800X Counselor, Mental HealthE.0600050-SUPVOH

Practice location

6960 Market St Ste 2
Boardman, OH 44512-4508

Phone 330-501-7821 · Fax 330-953-3302

Mailing address

6960 Market St Ste 2
Boardman, OH 44512-4508

Phone 330-501-7821

Authorized official

Stephanie Ann Caruso
Owner
3305017821

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