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Organization
WILD OHIO THERAPY FARM
Active
Organization
WILD OHIO THERAPY FARM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KELTY (OFFICE MANAGER)
(614) 370-1033
Entity
Organization
Contact information
Practice address
415 LAKE VISTA DR, ZANESVILLE, OH 43701-7552
(740) 319-1666
Mailing address
415 LAKE VISTA DR, ZANESVILLE, OH 43701-7552
(740) 319-1666
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
12/01/2021
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