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1023558343
KEITH W BRYANT
CHILLICOTHE, OH
NPI
1023558343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 981118)
Enumeration Date
2017-03-06
Last Update Date
2017-03-06
Business Address
Mr. KEITH W BRYANT LICDC
767 HOPEWELL RD
CHILLICOTHE, OH 45601-8092
Phone number: 740-701-2765
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Mailing Address
Mr. KEITH W BRYANT LICDC
PO BOX 2092
CHILLICOTHE, OH 45601-8092
Phone number: 740-701-2765
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