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Individual

MARISSA LEE WAFFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
950 MEADOW DR STE A, MOUNT GILEAD, OH 43338-1389
(419) 949-2000
(419) 751-7322
Mailing address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0990
(614) 225-0991

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
OH

Other

Enumeration date
06/11/2026
Last updated
06/11/2026
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