Individual
TIERNEY PERSICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
195 N GRANT AVE, COLUMBUS, OH 43215-2855
(440) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C1901657
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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