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1063153922
MICHAEL COLLINGSWORTH
XENIA, OH
NPI
1063153922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA179766)
Enumeration Date
2022-04-05
Last Update Date
2022-04-18
Business Address
MICHAEL COLLINGSWORTH
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
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Mailing Address
MICHAEL COLLINGSWORTH
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
Copy
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