Individual
REVINA REVELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 NEW ST, LEBANON, OH 45036-6900
(513) 227-3425
Mailing address
PO BOX 41, LEBANON, OH 45036-0041
(513) 227-3425
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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