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1104279744
DIANE RASHIDA EVANS
COLUMBUS, OH
NPI
1104279744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LCDC0810722)
Enumeration Date
2016-07-19
Last Update Date
2016-07-19
Business Address
-- DIANE RASHIDA EVANS LCDC-II
1791 ALUM CREEK DR
COLUMBUS, OH 43207
Phone number: 614-445-8131
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Mailing Address
-- DIANE RASHIDA EVANS LCDC-II
1791 ALUM CREEK DR
COLUMBUS, OH 43207-1708
Phone number: 614-445-8131
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