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1083366116
TRACI LYNNE WARDLOW
GEORGETOWN, OH
NPI
1083366116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.179499)
Enumeration Date
2022-01-20
Last Update Date
2022-01-20
Business Address
Miss TRACI LYNNE WARDLOW CDCA
421 HOME ST
GEORGETOWN, OH 45121-1407
Phone number: 937-416-7721
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Mailing Address
Miss TRACI LYNNE WARDLOW CDCA
615 ELSINORE PL STE 200
CINCINNATI, OH 45202-1457
Phone number: 513-834-7063
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