Individual
JOHN FISHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
104 SPINK ST, WOOSTER, OH 44691-3652
(330) 264-8498
Mailing address
104 SPINK ST, WOOSTER, OH 44691-3652
(330) 264-8498
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
I1800831
OH
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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