BROCK WOLFORD

LOGAN, OH
NPI1053876623
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  169242)
Enumeration Date2019-02-07
Last Update Date2019-02-07
Business Address
BROCK WOLFORD CDCA
30663 RED ROCK CT # 1
LOGAN, OH 43138-9672
Phone number: 740-888-1377
Mailing Address
BROCK WOLFORD CDCA
30663 RED ROCK CT # 1
LOGAN, OH 43138-9672
Phone number: 740-888-1377
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