Organization
SUSAN KRALICH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KRALICH LPCC (LICENSED PROFESSIONAL CLINICAL COUN)
(937) 776-6428
Entity
Organization
Contact information
Practice address
3221 RIDGEVIEW AVE, KETTERING, OH 45409-1156
(937) 776-6428
Mailing address
3221 RIDGEVIEW AVE, KETTERING, OH 45409-1156
(937) 776-6428
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
E.1000162
OH
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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