TIMOTHY BURGE

IRONTON, OH
NPI1699244434
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.168700)
Enumeration Date2018-11-23
Last Update Date2018-11-23
Business Address
TIMOTHY BURGE CDCA
81 TOWNSHIP ROAD 349
IRONTON, OH 45638-8617
Phone number: 740-442-7706
Mailing Address
TIMOTHY BURGE CDCA
81 TOWNSHIP ROAD 349
IRONTON, OH 45638-8617
Phone number:
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