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1053818161
JESSIE LOUISE BEALS
ASHTABULA, OH
NPI
1053818161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH 166083)
Enumeration Date
2018-04-06
Last Update Date
2018-04-06
Business Address
JESSIE LOUISE BEALS
2801 C CT
ASHTABULA, OH 44004-4577
Phone number: 440-998-0722
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Mailing Address
JESSIE LOUISE BEALS
2801 C CT
ASHTABULA, OH 44004-4577
Phone number: 440-998-0722
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