CHARLIE PENGOV

TOLEDO, OH
NPI1629582630
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2017-11-29
Last Update Date2017-11-29
Business Address
CHARLIE PENGOV BA, CDCA
2005 ASHLAND AVE
TOLEDO, OH 43620-1703
Phone number: 419-841-7701
Mailing Address
CHARLIE PENGOV BA, CDCA
2005 ASHLAND AVE
TOLEDO, OH 43620-1703
Phone number: 419-841-7701
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