Individual
MISTY NICOLE BREEDLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 TOWNSHIP ROAD 349, IRONTON, OH 45638-8617
(740) 442-7758
Mailing address
81 TOWNSHIP ROAD 349, IRONTON, OH 45638-8617
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.003673
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
10/12/2022
Last updated
01/04/2023
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