BRENT J WING

WAVERLY, OH
NPI1033551387
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: OH  CDCA.130002)
Enumeration Date2013-07-26
Last Update Date2013-07-26
Business Address
-- BRENT J WING CT,CDA
102 DAWN LN
WAVERLY, OH 45690-9695
Phone number: 740-947-7783
Mailing Address
-- BRENT J WING CT,CDA
4449 STATE ROUTE 159
CHILLICOTHE, OH 45601-8620
Phone number: 740-772-7886
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