Individual
EDWARD P WELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 N VANDEMARK RD, SIDNEY, OH 45365-3567
(937) 710-4616
Mailing address
18567 KENTNER RD, BOTKINS, OH 45306-8907
(937) 726-1074
(937) 693-6595
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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