CHAUNCEY WALLACE

MARION, OH
NPI1215407945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  050034)
Enumeration Date2018-11-26
Last Update Date2018-11-26
Business Address
CHAUNCEY WALLACE CDCA
284 S STATE ST
MARION, OH 43302-3940
Phone number: 614-832-7647
Mailing Address
CHAUNCEY WALLACE CDCA
284 S STATE ST
MARION, OH 43302-3940
Phone number: 614-832-7647
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