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Individual

DAVID LESLIE WIRT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.ED., LPCC

Contact information

Practice address
3796 BROADWAY, GROVE CITY, OH 43123-2235
(614) 871-0035
(614) 539-0069
Mailing address
3796 BROADWAY, GROVE CITY, OH 43123-2235
(614) 871-0035
(614) 539-0069

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0003044
OH

Other

Enumeration date
12/05/2005
Last updated
07/08/2007
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