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1063098911
DEREK BENTOFF
LORAIN, OH
NPI
1063098911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.173580)
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
DEREK BENTOFF CDCA
2115 W PARK DR
LORAIN, OH 44053-1138
Phone number: 440-989-4900
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Mailing Address
DEREK BENTOFF CDCA
525 MAPLEVIEW AVE
SHEFFIELD LAKE, OH 44054-1727
Phone number:
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