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Individual

EMMA CATHERINE C. PITCHFORD BANGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC, ATR

Contact information

Practice address
1384 W 117TH ST, LAKEWOOD, OH 44107-3011
(216) 221-7588
Mailing address
3101 MAPLEDALE AVE, CLEVELAND, OH 44109-2447
(601) 260-7984

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1700122
OH
251B00000X
Case Management Agency
C.1400266
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2871101
OH
Enumeration date
07/15/2014
Last updated
06/03/2019
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