Individual
MISS YANIRA PROKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 320-6490
Mailing address
124 E 213TH ST, EUCLID, OH 44123-1067
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0501345
OH
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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