MICAH BRUCE MOOTISPAW

BAINBRIDGE, OH
NPI1174153639
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-01-23
Last Update Date2020-01-23
Business Address
MICAH BRUCE MOOTISPAW QMHS
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612-1500
Phone number: 740-634-3094
Mailing Address
MICAH BRUCE MOOTISPAW QMHS
401 E MCMILLAN ST
CINCINNATI, OH 45206-1922
Phone number: 513-221-3350
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