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1477085769
MICHAEL WYANT
ELYRIA, OH
NPI
1477085769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LICDC.161921)
Enumeration Date
2017-03-28
Last Update Date
2024-05-31
Business Address
MICHAEL WYANT LICDC
202 CHESTNUT ST
ELYRIA, OH 44035-5325
Phone number: 440-281-8437
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Mailing Address
MICHAEL WYANT LICDC
202 CHESTNUT ST
ELYRIA, OH 44035-5325
Phone number: 440-281-8437
Copy
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