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1114752813
SIAYRA PATTISHALL
COLUMBUS, OH
NPI
1114752813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 189223)
Enumeration Date
2024-09-04
Last Update Date
2024-09-04
Business Address
SIAYRA PATTISHALL CDCA
1791 ALUM CREEK DR
COLUMBUS, OH 43207-1757
Phone number: 614-445-8131
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Mailing Address
SIAYRA PATTISHALL CDCA
1791 ALUM CREEK DR
COLUMBUS, OH 43207-1757
Phone number: 614-445-8131
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