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1144727678
JESSE WODRIG
ASHTABULA, OH
NPI
1144727678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 140556)
Enumeration Date
2018-04-11
Last Update Date
2018-04-11
Business Address
JESSE WODRIG CDCA
2801 C CT
ASHTABULA, OH 44004-4577
Phone number: 440-998-0722
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Mailing Address
JESSE WODRIG CDCA
2801 C CT
ASHTABULA, OH 44004-4577
Phone number: 440-998-0722
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