ETHAN BOOSE

ATHENS, OH
NPI1619434180
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: OH  C.1901561-TRNE)
Enumeration Date2019-02-21
Last Update Date2019-02-21
Business Address
ETHAN BOOSE CT
90 HOSPITAL DR
ATHENS, OH 45701-2301
Phone number: 740-592-3091
Mailing Address
ETHAN BOOSE CT
PO BOX 188
CHILLICOTHE, OH 45601-0188
Phone number: 740-773-4366