Dba Carolyn Rodecker | |
13800 Bagley Rd Middleburg Heights OH 44130-6760 | |
(216) 978-5183 | |
Not Available |
Full Name | Dba Carolyn Rodecker |
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Speciality | Counselor - Professional |
Location | 13800 Bagley Rd, Middleburg Heights, Ohio |
Authorized Official Name and Position | Carolyn Sue Rodecker (LICENSED CLINICAL COUNSELOR) |
Authorized Official Contact | 4408426867 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dba Carolyn Rodecker 13800 Bagley Rd Middleburg Heights OH 44130-6760 Ph: (216) 978-5183 | Dba Carolyn Rodecker 13800 Bagley Rd Middleburg Heights OH 44130-6760 Ph: (216) 978-5183 |
NPI Number | 1356718142 |
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Provider Enumeration Date | 08/27/2015 |
Last Update Date | 08/27/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356718142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E110489 (Ohio) | Primary |
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