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1104332378
ALYSSA EMANI IDEIS
COLUMBUS, OH
NPI
1104332378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.163937)
Enumeration Date
2017-12-23
Last Update Date
2018-03-17
Business Address
ALYSSA EMANI IDEIS CDCA
99 N BRICE RD STE 320
COLUMBUS, OH 43213-6519
Phone number: 614-759-1176
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Mailing Address
ALYSSA EMANI IDEIS CDCA
3676 BRACKNELL FOREST DR
GROVEPORT, OH 43125-9160
Phone number: 440-382-5479
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