| Provider Type: | Behavioral Health & Social Service Providers |
| Provider Classification: | Psychologist |
| Provider Specialization: | Clinical |
| Address: |
2421 Allentown Rd Lima, OH 45805-1711 |
| Phone: | (419) 225-5238 |
| Fax: | (419) 222-1597 |
| Gender: | Male |
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