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1124440607
JADE THURSIA FISHBURN
MASSILLON, OH
NPI
1124440607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LCDCII.161524)
Enumeration Date
2014-01-17
Last Update Date
2022-01-05
Business Address
Ms. JADE THURSIA FISHBURN B.A., LCDC II
1680 NAVE RD SE
MASSILLON, OH 44646-9604
Phone number: 330-830-8740
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Mailing Address
Ms. JADE THURSIA FISHBURN B.A., LCDC II
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-455-0374
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