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1073390233
KIMBERLY A FAWVER
CANTON, OH
NPI
1073390233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LCDCIII.162551)
Enumeration Date
2023-09-12
Last Update Date
2023-09-12
Business Address
KIMBERLY A FAWVER LCDCIII
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-445-2677
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Mailing Address
KIMBERLY A FAWVER LCDCIII
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-455-0374
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