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1104331073
DARRICK RYAN FRALEY
DAYTON, OH
NPI
1104331073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.165822)
Enumeration Date
2017-12-13
Last Update Date
2019-01-11
Business Address
DARRICK RYAN FRALEY CDCA I
1725 E 3RD ST
DAYTON, OH 45403-1850
Phone number: 937-387-6395
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Mailing Address
DARRICK RYAN FRALEY CDCA I
2396 CAREW AVE
KETTERING, OH 45420-3427
Phone number: 937-312-7342
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