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1609181569
KRISTEN MARIE PETRILLA
CANTON, OH
NPI
1609181569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 081204)
Enumeration Date
2010-08-16
Last Update Date
2010-08-16
Business Address
Ms. KRISTEN MARIE PETRILLA LCDC III, OCPS II
1341 MARKET AVE N
CANTON, OH 44714-2605
Phone number: 330-453-8252
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Mailing Address
Ms. KRISTEN MARIE PETRILLA LCDC III, OCPS II
509 22ND ST NW
CANTON, OH 44709-3815
Phone number: 330-452-8252
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