Individual
BOMBER FERRARO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 EAST 38TH ST, ERIE, PA 16504
(814) 860-6623
Mailing address
135 EAST 38TH ST, ERIE, PA 16504-1559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC007354
PA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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