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1053650002
MAX STAFFORD
CHILLICOTHE, OH
NPI
1053650002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 011419)
Enumeration Date
2013-02-12
Last Update Date
2013-02-12
Business Address
-- MAX STAFFORD
46 E WATER ST
CHILLICOTHE, OH 45601-2544
Phone number: 740-851-4432
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Mailing Address
-- MAX STAFFORD
46 E WATER ST
CHILLICOTHE, OH 45601-2544
Phone number: 740-851-4432
Copy
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