KENNETH TRIVISON

NORTH OLMSTED, OH
NPI1114969862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OH  E0000375)
Enumeration Date2006-06-10
Last Update Date2007-07-08
Business Address
-- KENNETH TRIVISON
25111 COUNTRY CLUB BLVD SUITE 290
NORTH OLMSTED, OH 44070-5345
Phone number: 440-614-2520
Mailing Address
-- KENNETH TRIVISON
24800 HIGHPOINT RD
BEACHWOOD, OH 44122-6041
Phone number: 216-831-6611
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