Individual
JOSH CHLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
431 LISA DR, LODI, OH 44254-1145
(330) 621-2000
Mailing address
431 LISA DR, LODI, OH 44254-1145
(330) 621-2000
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0301211
OH
Other
Enumeration date
12/27/2020
Last updated
12/27/2020
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