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1164919841
DILLARD LESLIE
SPRINGFIELD, OH
NPI
1164919841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 166167)
Enumeration Date
2018-04-18
Last Update Date
2018-04-18
Business Address
DILLARD LESLIE CDCA
1200 E HOME RD
SPRINGFIELD, OH 45503-2728
Phone number: 937-522-0962
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Mailing Address
DILLARD LESLIE CDCA
1200 E HOME RD
SPRINGFIELD, OH 45503-2728
Phone number: 937-522-0962
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