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Individual

MS. DOROTHEA GENAE HARDRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC-S

Contact information

Practice address
3975 KENNETH DR, ROOTSTOWN, OH 44272-9252
(330) 850-5141
Mailing address
398 UNION ST, BEDFORD, OH 44146-4569
(216) 256-4697

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1000185
OH
101YM0800X
Mental Health Counselor
Primary
E.1700280
OH

Other

Enumeration date
09/15/2014
Last updated
10/27/2021
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