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1073173498
DERRICK LEIGH KAUFMAN
DAYTON, OH
NPI
1073173498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LICDC162158)
Enumeration Date
2019-06-18
Last Update Date
2023-08-30
Business Address
Mr. DERRICK LEIGH KAUFMAN LICDC
4977 NORTHCUTT PL
DAYTON, OH 45414-3839
Phone number: 937-387-6395
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Mailing Address
Mr. DERRICK LEIGH KAUFMAN LICDC
328 ORCHARD PL
WINTERSVILLE, OH 43953-3942
Phone number:
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