Individual
JULIAN BRENNAN LICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
68150 BAYBERRY DR, SAINT CLAIRSVILLE, OH 43950-8547
(740) 996-7010
Mailing address
5982 RHODES RD, KENT, OH 44240-8100
(330) 673-1347
(330) 678-3677
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.004150
OH
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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