Individual
CHERYL K WISTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
501 MC DONALD PIKE, PAULDING, OH 45879
(419) 399-3636
(419) 399-5915
Mailing address
15980 STATE ROUTE 114, GROVER HILL, OH 45849-9440
(419) 399-3636
(419) 399-5915
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0007313
OH
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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