Individual
KIM PETROCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
8525 FRIENDSVILLE RD, LODI, OH 44254-9706
(330) 302-0320
Mailing address
8525 FRIENDSVILLE RD, LODI, OH 44254-9706
(330) 302-0320
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1169907
OH
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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