KELLY D EDGELL

ZANESVILLE, OH
NPI1609377514
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  LCDCIII.081187)
Enumeration Date2018-02-26
Last Update Date2024-11-20
Business Address
KELLY D EDGELL LCDCIII
1127 W MAIN ST
ZANESVILLE, OH 43701-3147
Phone number: 740-454-1266
Mailing Address
KELLY D EDGELL LCDCIII
1127 W MAIN ST
ZANESVILLE, OH 43701-3147
Phone number: 740-454-1266
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