BRADLEY G. WISE

MANSFIELD, OH
NPI1194139980
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  954172)
Enumeration Date2014-06-19
Last Update Date2014-06-19
Business Address
-- BRADLEY G. WISE LICDC-CS
1150 N MAIN ST
MANSFIELD, OH 44903-9718
Phone number: 419-526-2000
Mailing Address
-- BRADLEY G. WISE LICDC-CS
PO BOX 788
MANSFIELD, OH 44901-0788
Phone number: 419-526-2000
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