Individual
CHERRY DOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.C.
Contact information
Practice address
202 E BAGLEY RD, BEREA, OH 44017-2058
(440) 260-8453
Mailing address
465 PARK AVE SW, BOLIVAR, OH 44612-9723
(330) 232-3977
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1100026
OH
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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