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1114413275
AJA L BLACKWELL-COLLINS
ATHENS, OH
NPI
1114413275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH 080414)
Enumeration Date
2018-07-02
Last Update Date
2018-07-02
Business Address
AJA L BLACKWELL-COLLINS CDCA
10050 BASSETT RD
ATHENS, OH 45701-3626
Phone number: 740-594-8108
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Mailing Address
AJA L BLACKWELL-COLLINS CDCA
224 COLUMBUS RD
ATHENS, OH 45701-1334
Phone number: 740-592-6724
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