Individual
CARYL WESTGERDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3064 EAGLE COVE DR, RIPLEY, OH 45167-9683
(937) 392-4581
Mailing address
3064 EAGLE COVE DR, RIPLEY, OH 45167-9683
(937) 392-4581
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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