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1023791845
STEVIE CHANEL MATLOCK
TOLEDO, OH
NPI
1023791845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 184992)
Enumeration Date
2023-08-09
Last Update Date
2023-08-09
Business Address
STEVIE CHANEL MATLOCK CDCA
4352 W SYLVANIA AVE
TOLEDO, OH 43623-3463
Phone number: 419-561-5433
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Mailing Address
STEVIE CHANEL MATLOCK CDCA
4352 W SYLVANIA AVE
TOLEDO, OH 43623-3463
Phone number: 419-561-5433
Copy
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