Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Psych/Mental Health
Enumerated
Feb 20, 2014
License(s)
RN.389741 (OH), 026622 (OH), APRN.CNP.026622 (OH), APRN.CNP.026622 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 408 9TH ST SW | Canton, OH 44707-4714 | 330-454-2000 |
| MAILING | 2725 LINCOLN ST E | Canton, OH 44707-2769 | 330-454-2000 |
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