MICHAEL PROKOP

WARREN, OH
NPI1942685854
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
(Licence: OH  BG1-00-9474)
Enumeration Date2015-07-22
Last Update Date2015-07-22
Business Address
-- MICHAEL PROKOP
641 FAIRWAY DR NE
WARREN, OH 44483-5633
Phone number: 330-766-2492
Mailing Address
-- MICHAEL PROKOP
641 FAIRWAY DR NE
WARREN, OH 44483-5633
Phone number: 330-766-2492
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