Individual
DURWARD E HARRELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TRNE
Contact information
Practice address
65 MESSIMER DR, NEWARK, OH 43055-1874
(740) 522-8477
(740) 788-3424
Mailing address
PO BOX 4670, NEWARK, OH 43058-4670
(740) 522-8477
(740) 788-3424
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.0700464-TRNE
OH
101Y00000X
Counselor
Primary
LCDC.101162-3
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200008
—
OH
Enumeration date
04/09/2013
Last updated
04/09/2013
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