Individual
MRS. JOSIE R MUTERSPAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
7565 N STATE ROUTE 42, WAYNESVILLE, OH 45068-8841
(937) 728-3397
Mailing address
9255 HERITAGE GLEN DR, MIAMISBURG, OH 45342-7410
(937) 838-0770
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E 0500725
OH
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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