TRYSTAN ROBERT QUEEN

BAINBRIDGE, OH
NPI1639665656
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-07-02
Last Update Date2023-03-02
Business Address
TRYSTAN ROBERT QUEEN CMS
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612-1500
Phone number: 740-634-3094
Mailing Address
TRYSTAN ROBERT QUEEN CMS
178 MILL RUN RD LOT 107
WAVERLY, OH 45690-8809
Phone number: 740-825-2764
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