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1114637279
JEFFREY D. BAKER
MASSILLON, OH
NPI
1114637279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.175216)
Enumeration Date
2022-11-30
Last Update Date
2022-11-30
Business Address
Mr. JEFFREY D. BAKER CDCA
721 LINCOLN WAY E
MASSILLON, OH 44646-6829
Phone number: 855-712-9962
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Mailing Address
Mr. JEFFREY D. BAKER CDCA
7373 SHERMAN CHURCH AVE SW LOT 2609
EAST SPARTA, OH 44626-9462
Phone number: 330-327-7494
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