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Organization
NGU WELLNESS LLC
Active
Organization
NGU WELLNESS LLC
Active
Other names
NGU Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WALTON LISW-S (OWNER)
(888) 648-9355
Entity
Organization
Contact information
Practice address
453 PATTERSON RD STE A, DAYTON, OH 45419-4343
(888) 648-9355
(888) 648-9355
Mailing address
453 PATTERSON RD STE A, DAYTON, OH 45419-4343
(888) 648-9355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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