STEPHEN EDWARD WALLINGFORD

PIKETON, OH
NPI1326695610
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-08-21
Last Update Date2019-08-21
Business Address
STEPHEN EDWARD WALLINGFORD
2266 WAKEFIELD MOUND RD
PIKETON, OH 45661-9660
Phone number: 740-222-5720
Mailing Address
STEPHEN EDWARD WALLINGFORD
402 BEVERLY AVE
WAVERLY, OH 45690-1542
Phone number: 740-222-5720
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