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Lori Elizabeth Radakovich
Peer Specialist in Wooster, Ohio
NPI 1376002550

Lori Elizabeth Radakovich is a Peer Specialist based in Wooster, OH. Lori Elizabeth Radakovich practices in Wooster, OH. The NPI Number for Lori Elizabeth Radakovich is 1376002550 and holds a License No. (Ohio).

The current practice location address for Lori Elizabeth Radakovich is 104 Spink St, Wooster, OH and can be reached out via phone at 330-264-8498. You can also correspond with Lori Elizabeth Radakovich through the mailing address at 104 SPINK ST, WOOSTER, OH - 44691-3652 (mailing address contact number: 330-264-8498).

Location: 104 Spink St, Wooster, OH, 44691-3652
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376002550
Provider Name
Lori Elizabeth Radakovich
Credential
Provider Entity Type
Individual
Gender
Female
Address
104 Spink St, Wooster, OH, 44691-3652
Phone Number
330-264-8498
Fax Number
Provider Enumeration Date
03/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
104 Spink St
City
Wooster
State
Ohio
Zip
44691-3652
Phone Number
330-264-8498
Fax Number
person
Provider Business Mailing Address Details
Address
104 Spink St
City
Wooster
State
Ohio
Zip
44691-3652
Phone Number
330-264-8498
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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