JESSE RYAN SPROUSE

KETTERING, OH
NPI1386499184
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-04-23
Last Update Date2024-04-23
Business Address
Mr. JESSE RYAN SPROUSE
1324 WILLOWDALE AVE
KETTERING, OH 45429-5148
Phone number: 937-361-9391
Mailing Address
Mr. JESSE RYAN SPROUSE
1324 WILLOWDALE AVE
KETTERING, OH 45429-5148
Phone number: 937-361-9391
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