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Individual
WAYNE BURNSWORTH
Active
Individual
WAYNE BURNSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.2405948-TRNE
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.173435
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.161719
OH
Other
Enumeration date
07/20/2021
Last updated
05/02/2025
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