Brandon S Clevenger

NPI #1528617784 in Van Wert, Ohio

Provider Information

NPI Number: 1528617784
Entity Type: Individual
Name: Brandon S Clevenger
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Sep 10, 2019
Last Updated: Sep 10, 2019

Practice Location

Address: 1158 WESTWOOD DR
City: Van Wert
State: Ohio
ZIP Code: 45891-2449
Phone: (419) 238-3434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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