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1073388773
DESTINEE JAYDE LOVELY
CHILLICOTHE, OH
NPI
1073388773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.186254)
Enumeration Date
2023-11-22
Last Update Date
2023-11-22
Business Address
DESTINEE JAYDE LOVELY CDCA
4449 STATE ROUTE 159
CHILLICOTHE, OH 45601-8620
Phone number: 740-772-7957
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Mailing Address
DESTINEE JAYDE LOVELY CDCA
PO BOX 6179
CHILLICOTHE, OH 45601-6179
Phone number: 740-772-7957
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