Individual
BERNADETTE COLEGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22001 FAIRMOUNT BLVD., SHAKER-HEIGHTS, OH 44118
(216) 320-8498
Mailing address
3388 NAPA BLVD, AVON, OH 44011-4506
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S 0027942
OH
104100000X
Social Worker
Primary
S0027942
OH
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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