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1104513597
LEONARD EDITH
SHELBY, OH
NPI
1104513597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.183489)
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
LEONARD EDITH
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 419-747-3322
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Mailing Address
LEONARD EDITH
9 SUNNYSLOPE DR
MANSFIELD, OH 44907-2524
Phone number: 567-338-0285
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