ANITA H WIESE

RAVENNA, OH
NPI1710978879
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OH  SP8366)
Enumeration Date2005-10-28
Last Update Date2007-07-08
Business Address
-- ANITA H WIESE ST
6831 N CHESTNUT ST
RAVENNA, OH 44266-3929
Phone number: 330-297-4564
Mailing Address
-- ANITA H WIESE ST
533 E MAIN ST
RAVENNA, OH 44266-3218
Phone number: 330-297-9020
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