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1144726472
JAMES LLOYD BACK
SHELBY, OH
NPI
1144726472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.981099)
Enumeration Date
2018-04-04
Last Update Date
2018-04-11
Business Address
JAMES LLOYD BACK CDCA
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 419-565-5955
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Mailing Address
JAMES LLOYD BACK CDCA
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 419-747-3322
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