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Individual

BERNICE PETTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1496 S GREEN RD, SOUTH EUCLID, OH 44121-4088
(162) 389-7413
(216) 916-0995
Mailing address
1496 S GREEN RD, SOUTH EUCLID, OH 44121-4088
(162) 389-7413
(162) 916-0995

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
163462
OH

Other

Enumeration date
09/29/2017
Last updated
10/17/2022
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