Individual
BREVIN L RIGGLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 GRANVILLE ST, NEWARK, OH 43055-4910
(740) 345-7054
Mailing address
65 MESSIMER DR, NEWARK, OH 43055-1874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.169467
OH
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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