Individual
MRS. RUTH RACHEL RACINIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.C.C.
Contact information
Practice address
15200 MADISON AVENUE, LAKEWOOD, OH 44107
(216) 538-2376
(216) 529-1630
Mailing address
202 EAST BAGLEY ROAD, BEREA, OH 44017
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E0701182
OH
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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