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1063431443
FRED ALLEN
KETTERING, OH
NPI
1063431443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH I-7931)
Enumeration Date
2006-07-18
Last Update Date
2007-07-19
Business Address
-- FRED ALLEN LISW
28 E RAHN RD SUTIE 105
KETTERING, OH 45429-5461
Phone number: 937-434-6840
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Mailing Address
-- FRED ALLEN LISW
631 KENWOOD AVE.
CLAYTON, OH 45415
Phone number: 937-277-1592
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