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Individual

ERICH SOMNER PETRELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
825 DENNISON AVE, COLUMBUS, OH 43215-1315
(614) 291-4691
Mailing address
825 DENNISON AVE, COLUMBUS, OH 43215-1315
(614) 291-4691

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1451266
OH
104100000X
Social Worker
1451266

Other

Enumeration date
06/19/2018
Last updated
06/19/2018
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