TIMOTHY NORTHRUP

MAUMEE, OH
NPI1831786284
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  172666)
Enumeration Date2020-12-30
Last Update Date2020-12-30
Business Address
TIMOTHY NORTHRUP
1757 INDIAN WOOD CIR
MAUMEE, OH 43537-4009
Phone number: 833-692-9134
Mailing Address
TIMOTHY NORTHRUP
1757 INDIAN WOOD CIR
MAUMEE, OH 43537-4009
Phone number:
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