Most Relevant Information
Provider Data
| NPI Number: | 1003329749 |
| Provider Name: | DAVID WILLIAM LAVERICK CDCA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/15/2017 |
| Last Updated: | 11/15/2017 |
Provider Practice Location
14574 US HIGHWAY 23
WAVERLY
OH
456909373
Practice Location Phone/Fax
| Phone: | 7409129126 |
| Fax: | 7409129126 |
Provider Mailing Location
14574 US HIGHWAY 23
WAVERLY
OH
456909373
Provider Mailing Phone/Fax
| Phone: | 7409129126 |
| Fax: |