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1104483890
JONATHAN ELLWOOD
COLUMBUS, OH
NPI
1104483890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-29
Last Update Date
2019-05-29
Business Address
JONATHAN ELLWOOD
16 W LONG ST
COLUMBUS, OH 43215-2815
Phone number: 614-225-0990
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Mailing Address
JONATHAN ELLWOOD
1709 KENNY RD APT C
COLUMBUS, OH 43212-1308
Phone number: 614-558-1923
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