DUANE LEROY WIRTH

SCOTTSBLUFF, NE
NPI1205929700
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  528)
Enumeration Date2006-10-02
Last Update Date2007-07-08
Business Address
-- DUANE LEROY WIRTH L.ADC
4110 AVE D
SCOTTSBLUFF, NE 69361
Phone number: 308-635-3171
Mailing Address
-- DUANE LEROY WIRTH L.ADC
1851 22ND STREET
MITCHELL, NE 69357
Phone number:
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