MELVIN DEAN TIMBERLAKE

BRILLIANT, OH
NPI1538496252
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  965747)
Enumeration Date2009-11-17
Last Update Date2009-12-20
Business Address
Mr. MELVIN DEAN TIMBERLAKE LICDC
817 LABELLE ST
BRILLIANT, OH 43913-1120
Phone number: 740-381-3557
Mailing Address
Mr. MELVIN DEAN TIMBERLAKE LICDC
817 LABELLE ST
BRILLIANT, OH 43913-1120
Phone number: 740-381-3557
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