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1124727763
COURTNEY ELLEN MANDEVILLE
COLUMBUS, OH
NPI
1124727763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.182294)
Enumeration Date
2023-03-02
Last Update Date
2023-03-02
Business Address
COURTNEY ELLEN MANDEVILLE
3121 W BROAD ST
COLUMBUS, OH 43204-1306
Phone number: 614-869-2002
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Mailing Address
COURTNEY ELLEN MANDEVILLE
6694 WINBARR WAY
CANAL WINCHESTER, OH 43110-8730
Phone number: 614-972-3420
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