DANIEL IMMEL

CANTON, OH
NPI1386194405
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  LDCDIII.161325)
Enumeration Date2016-10-13
Last Update Date2016-10-13
Business Address
-- DANIEL IMMEL
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-453-8252
Mailing Address
-- DANIEL IMMEL
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-453-8252
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