Individual
LAMONTIE GIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
132 SCONSET CIR, REYNOLDSBURG, OH 43068-7175
(419) 936-4567
Mailing address
132 SCONSET CIR, REYNOLDSBURG, OH 43068-7175
(419) 936-4567
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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