ROBIN L FORMICK

RAVENNA, OH
NPI1104044585
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OH  E0004226)
Enumeration Date2007-04-23
Last Update Date2007-07-08
Business Address
-- ROBIN L FORMICK E.0004226
520 N CHESTNUT ST
RAVENNA, OH 44266-2218
Phone number: 330-296-5552
Mailing Address
-- ROBIN L FORMICK E.0004226
4070 SABIN DR
ROOTSTOWN, OH 44272-9617
Phone number: 330-325-0545
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