BENJAMIN LEE WYLDES

OTTUMWA, IA
NPI1134641954
Other NameBEN WYLDES
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-07-13
Last Update Date2017-07-13
Business Address
BENJAMIN LEE WYLDES CADC
310 W. MAIN ST
OTTUMWA, IA 52501
Phone number: 641-683-6747
Mailing Address
BENJAMIN LEE WYLDES CADC
PO BOX 658
OTTUMWA, IA 52501
Phone number: 641-683-6747
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