STEPHEN ANDERSON

MANSFIELD, OH
NPI1720518319
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  163563)
Enumeration Date2017-06-15
Last Update Date2022-07-21
Business Address
STEPHEN ANDERSON
680 PARK AVE W.
MANSFIELD, OH 44906
Phone number: 419-528-5993
Mailing Address
STEPHEN ANDERSON
680 PARK AVE W
MANSFIELD, OH 44906-3706
Phone number: 419-528-5993
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