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1891406096
MITCHELL WIEGAND
ASHTABULA, OH
NPI
1891406096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-12-08
Last Update Date
2022-12-08
Business Address
MITCHELL WIEGAND
3418 LAKE AVE
ASHTABULA, OH 44004-5763
Phone number: 440-650-5030
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Mailing Address
MITCHELL WIEGAND
3418 LAKE AVE
ASHTABULA, OH 44004-5763
Phone number: 440-650-5030
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