Individual
MRS. CAROL LOUISE PETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
11565 PEARL RD STE 200, STRONGSVILLE, OH 44136-3356
(440) 846-0862
(440) 846-0890
Mailing address
11565 PEARL RD STE 200, STRONGSVILLE, OH 44136-3356
(440) 846-0862
(440) 846-0890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.0031317
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162191
—
OH
Enumeration date
03/03/2022
Last updated
03/03/2022
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