WILLIAM BRAXTON PROWELL

MASSILLON, OH
NPI1821500539
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.163719)
Enumeration Date2017-11-03
Last Update Date2017-11-03
Business Address
WILLIAM BRAXTON PROWELL CDCA
1680 NAVE RD SE
MASSILLON, OH 44646-9604
Phone number: 330-830-8740
Mailing Address
WILLIAM BRAXTON PROWELL CDCA
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-455-0374
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