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Organization
PERRYSBURG THERAPY LLC
Active
Organization
PERRYSBURG THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG BURROW (OWNER)
(419) 931-3020
Entity
Organization
Contact information
Practice address
830 W SOUTH BOUNDARY ST, SUITE A, PERRYSBURG, OH 43551-5238
(419) 931-3020
(419) 931-3022
Mailing address
830 W SOUTH BOUNDARY ST, SUITE A, PERRYSBURG, OH 43551-5238
(419) 931-3020
(419) 931-3022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C1300382
OH
101YM0800X
Mental Health Counselor
E1600096
OH
101YM0800X
Mental Health Counselor
E1700029
OH
1041C0700X
Clinical Social Worker
Primary
I-000-5829-S
OH
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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