Individual
BRENDA IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.C.
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 204-4100
(440) 233-4468
Mailing address
17503 MADISON AVE, LAKEWOOD, OH 44107-3552
(216) 521-3409
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E-0002208
OH
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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