Individual
RICHARD MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 PRIVATE DR. 977, PEDRO, OH 45659-8608
(740) 313-0400
(740) 894-1132
Mailing address
115 PRIVATE DR. 977, PEDRO, OH 45659-8608
(740) 313-0400
(740) 894-1132
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C1100572
OH
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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