Individual
COLLEEN PROKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27600 CHAGRIN BLVD, WOODMERE, OH 44122-4439
(216) 417-8813
Mailing address
26911 ELIZABETH LN, OLMSTED TWP, OH 44138-1152
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2309662
OH
Other
Enumeration date
10/03/2022
Last updated
07/27/2023
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