Individual
MRS. CYNTHIA L. PETRUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
500 HARRIS RD, SHEFFIELD LAKE, OH 44054-1410
(440) 240-8355
Mailing address
500 HARRIS RD, SHEFFIELD LAKE, OH 44054-1410
(440) 240-8355
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0023713
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023713
STATE OF OHIO COUNCELOR AND SOCIAL WORKER BOARD, MARRIAGE AND FAMILY THERAPIST B
OH
Enumeration date
03/29/2011
Last updated
03/29/2011
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