Individual
ISAAC B SEAGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CT
Contact information
Practice address
211 BIEDE AVE, DEFIANCE, OH 43512-2497
(419) 782-8856
Mailing address
211 BIEDE AVE, DEFIANCE, OH 43512-2497
(419) 782-8856
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C2103260TRNE
OH
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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