Individual
ASHLEY I KRUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3518 W 25TH ST, CLEVELAND, OH 44109-1951
(216) 780-6311
Mailing address
9767 COLUMBIA RD, OLMSTED FALLS, OH 44138-2714
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.163468
OH
1041S0200X
School Social Worker
Primary
S.1700015-TRNE
OH
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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