LARRY S BAXTER

DAYTON, OH
NPI1891345559
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-09-16
Last Update Date2019-09-16
Business Address
LARRY S BAXTER
612 GRAMONT AVE
DAYTON, OH 45402-5439
Phone number: 937-469-9141
Mailing Address
LARRY S BAXTER
612 GRAMONT AVE
DAYTON, OH 45402-5439
Phone number:
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