GARY DISALLE

WARREN, OH
NPI1669959110
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  165707)
Enumeration Date2018-07-26
Last Update Date2023-07-25
Business Address
GARY DISALLE CDCA
1212 TOD PL NW
WARREN, OH 44485-2475
Phone number: 330-469-6822
Mailing Address
GARY DISALLE CDCA
PO BOX 1212
WARREN, OH 44482-1212
Phone number: 330-469-6822
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