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1104652239
TAIT M HUDAK
DAYTON, OH
NPI
1104652239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH 189857)
Enumeration Date
2024-09-13
Last Update Date
2024-09-13
Business Address
MR. TAIT M HUDAK CDCA
14 BATES ST
DAYTON, OH 45402-1326
Phone number: 937-565-2818
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Mailing Address
MR. TAIT M HUDAK CDCA
14 BATES ST
DAYTON, OH 45402-1326
Phone number: 937-565-2818
Copy
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