JACQUELYN IRENE SPROUSE

WAVERLY, OH
NPI1518513415
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-08-15
Last Update Date2019-08-15
Business Address
JACQUELYN IRENE SPROUSE
217 EMMITT AVE
WAVERLY, OH 45690
Phone number: 740-649-2222
Mailing Address
JACQUELYN IRENE SPROUSE
1500 BLUE LICK RD
LONDONDERRY, OH 45647-9741
Phone number: 740-649-2222
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