LANCE ALLEN BROCKSCHMIDT

FREMONT, OH
NPI1750872560
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  166540)
Enumeration Date2018-05-29
Last Update Date2018-05-29
Business Address
LANCE ALLEN BROCKSCHMIDT
206 N CLOVER ST
FREMONT, OH 43420-2407
Phone number: 419-334-4644
Mailing Address
LANCE ALLEN BROCKSCHMIDT
9786 KRAMER RD
BOWLING GREEN, OH 43402-9536
Phone number: 419-618-4078
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