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Individual

MRS. TABBETHIA A SQUEZELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
115 MISTLETOE RD, NILES, OH 44446-4444
(330) 544-8005
Mailing address
115 MISTLETOE RD, NILES, OH 44446-2352
(330) 349-4947

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
F.1800077
OH

Other

Enumeration date
09/19/2013
Last updated
08/04/2022
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