KENNETH WILDER

IRONTON, OH
NPI1225528789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OH  CDCA.168125)
Enumeration Date2018-05-10
Last Update Date2018-10-09
Business Address
KENNETH WILDER CDCA
700 PARK AVE
IRONTON, OH 45638
Phone number: 740-532-1613
Mailing Address
KENNETH WILDER CDCA
PO BOX 108
IRONTON, OH 45638-0108
Phone number: 740-532-1613
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