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1023658515
SUMMER DAWN WICKERSHAM
GALLIPOLIS, OH
NPI
1023658515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH 171038)
Enumeration Date
2020-01-13
Last Update Date
2020-01-13
Business Address
SUMMER DAWN WICKERSHAM CDCA
254 PINECREST DR
GALLIPOLIS, OH 45631-1347
Phone number: 740-578-4824
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Mailing Address
SUMMER DAWN WICKERSHAM CDCA
254 PINECREST DR
GALLIPOLIS, OH 45631-1347
Phone number: 740-578-4824
Copy
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