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1083108799
JAMES L SHIVELY
WARREN, OH
NPI
1083108799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LCDCII.161820)
Enumeration Date
2018-06-15
Last Update Date
2024-03-11
Business Address
JAMES L SHIVELY CDCA
1212 TOD PL NW
WARREN, OH 44485-2475
Phone number: 330-469-6822
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Mailing Address
JAMES L SHIVELY CDCA
PO BOX 1212
WARREN, OH 44482-1212
Phone number: 330-469-6822
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