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Organization
WELLSPRING
Active
Organization
WELLSPRING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI WALTERS (OFFICE MANAGER/BILLER)
(937) 325-5564
Entity
Organization
Contact information
Practice address
15 E PLEASANT ST, SPRINGFIELD, OH 45506-2201
(937) 325-5564
(937) 325-8727
Mailing address
15 E PLEASANT ST, SPRINGFIELD, OH 45506-2201
(937) 325-5564
(937) 325-8727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286442
—
OH
Enumeration date
07/09/2012
Last updated
07/09/2012
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