Individual
DEWAYNE EDWARD WALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-8608
(740) 779-1141
(740) 772-7077
Mailing address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-8608
(740) 779-1141
(740) 772-7077
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
52318
TX
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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