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1902820939
DON F VILD
DOVER, OH
NPI
1902820939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I. 0001922)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
-- DON F VILD LISW
1604 N WOOSTER AVE
DOVER, OH 44622-2542
Phone number: 330-343-2434
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Mailing Address
-- DON F VILD LISW
1604 N WOOSTER AVE
DOVER, OH 44622-2542
Phone number: 330-343-2434
Copy
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