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1063285658
JACOB M SOUDAH
COLUMBUS, OH
NPI
1063285658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 186292)
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
JACOB M SOUDAH
246 E CAMPUS VIEW BLVD
COLUMBUS, OH 43235-4634
Phone number: 614-505-3126
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Mailing Address
JACOB M SOUDAH
2875 OLENTANGY RIVER RD APT 610
COLUMBUS, OH 43202-3514
Phone number: 614-772-3517
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