TYLER WAYNE PACK

PIKETON, OH
NPI1902457062
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2019-09-20
Last Update Date2019-09-20
Business Address
TYLER WAYNE PACK
15221 STATE ROUTE 124
PIKETON, OH 45661
Phone number: 740-505-1420
Mailing Address
TYLER WAYNE PACK
401 N HIGH ST
CHILLICOTHE, OH 45601-1634
Phone number:
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