Individual
ABBY SUPERCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5982 RHODES RD, KENT, OH 44240-8100
(419) 675-2243
Mailing address
5982 RHODES RD, KENT, OH 44240-8100
(330) 673-1347
(330) 678-3677
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
VDVA.163727
OH
104100000X
Social Worker
Primary
S.1701516
OH
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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