Walter E Windom JR.

NPI #1396252359 in Mansfield, Ohio

Provider Information

NPI Number: 1396252359
Entity Type: Individual
Name: Walter E Windom JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 29, 2017
Last Updated: Oct 26, 2020

Practice Location

Address: 741 SCHOLL RD
City: Mansfield
State: Ohio
ZIP Code: 44907-1571
Phone: (419) 756-1717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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