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1609308907
THERESA BURKE
LORAIN, OH
NPI
1609308907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LCDCIII.101044-3)
Enumeration Date
2017-03-28
Last Update Date
2017-03-28
Business Address
-- THERESA BURKE LCDCIII
2115 W PARK DR
LORAIN, OH 44053-1138
Phone number: 440-989-4987
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Mailing Address
-- THERESA BURKE LCDCIII
2115 W PARK DR
LORAIN, OH 44053-1138
Phone number: 440-989-4987
Copy
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