Organization
CRUCIBLE LIFE RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM K ROMAN LMSW (LMSW)
(419) 344-3671
Entity
Organization
Contact information
Practice address
3130 EXECUTIVE PKWY, SUITE 908, TOLEDO, OH 43606-5529
(419) 344-3671
Mailing address
3408 CHRISTIE BLVD, TOLEDO, OH 43606-2863
(419) 344-3671
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1100264
OH
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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