Individual
DANIEL L WIREBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
114 S WALNUT ST, BUCYRUS, OH 44820-2324
(419) 562-2400
(419) 617-3771
Mailing address
PO BOX 722, BUCYRUS, OH 44820-0722
(419) 562-2400
(419) 617-3771
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.120806
—
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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