Individual
DEXTER RILEY DELAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
218 E NORTH ST, WAVERLY, OH 45690-1148
(740) 947-6727
Mailing address
218 E NORTH ST, WAVERLY, OH 45690-1148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1275589178
OH
Other
Enumeration date
02/11/2018
Last updated
02/11/2018
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