Individual
JEFFREY LAWRANCE WILTROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
3292 STONES THROW AVE, POLAND, OH 44514-4213
(330) 757-3975
(330) 757-3976
Mailing address
736 WASHINGTON AVE, NILES, OH 44446-3151
(330) 974-6100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2106938
OH
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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