Individual
MR. EDWARD MICHAEL WANTUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LISW
Contact information
Practice address
2123 AUBURN AVE, SUITE 303, CINCINNATI, OH 45219-2906
(513) 241-1811
(513) 241-2112
Mailing address
2123 AUBURN AVE, SUITE 303, CINCINNATI, OH 45219-2906
(513) 241-1811
(513) 241-2112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I000414
OH
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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