SCOTT L SELF

WOOSTER, OH
NPI1730520917
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  ICDC943853-CS)
Enumeration Date2013-07-16
Last Update Date2013-07-16
Business Address
Mr. SCOTT L SELF LICDC, S.A.P.
2587 BACK ORRVILLE RD
WOOSTER, OH 44691-9523
Phone number: 330-264-9597
Mailing Address
Mr. SCOTT L SELF LICDC, S.A.P.
2587 BACK ORRVILLE RD
WOOSTER, OH 44691-9523
Phone number: 330-264-9597
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