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1154143055
KANE TRAYLOR
PORTSMOUTH, OH
NPI
1154143055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.189989)
Enumeration Date
2024-10-30
Last Update Date
2024-10-30
Business Address
KANE TRAYLOR CDCA
6606 GALLIA ST
PORTSMOUTH, OH 45662-5646
Phone number: 606-585-8676
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Mailing Address
KANE TRAYLOR CDCA
6606 GALLIA ST
PORTSMOUTH, OH 45662-5646
Phone number: 606-585-8676
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