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Organization
THERAPEUTIC ASSOCIATES
Active
Organization
THERAPEUTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ANN CARUSO LISW-S (OWNER)
(330) 501-7821
Entity
Organization
Contact information
Practice address
6960 MARKET ST STE 2, BOARDMAN, OH 44512-4508
(330) 501-7821
(330) 953-3302
Mailing address
6960 MARKET ST STE 2, BOARDMAN, OH 44512-4508
(330) 501-7821
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E.0600050-SUPV
OH
1041C0700X
Clinical Social Worker
Primary
I.1500779-SUPV
OH
Other
Enumeration date
08/03/2017
Last updated
10/23/2017
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