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Individual
SARAH E.B. CERCONE
Active
Individual
SARAH E.B. CERCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
S.1701133
OH
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
I.1901855
OH
Other
Enumeration date
05/20/2010
Last updated
03/12/2020
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