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1558518035
RICHARD J PETRUSKA
COLUMBUS, OH
NPI
1558518035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: I0007288)
Enumeration Date
2008-08-26
Last Update Date
2008-08-26
Business Address
-- RICHARD J PETRUSKA LISW
1515 E BROAD ST
COLUMBUS, OH 43205-1550
Phone number: 614-251-6562
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Mailing Address
-- RICHARD J PETRUSKA LISW
1515 E BROAD ST
COLUMBUS, OH 43205-1550
Phone number: 614-251-6562
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