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1174002661
DEBORAH BROKAW
MOUNT VERNON, OH
NPI
1174002661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH CDCA.167893)
Enumeration Date
2018-08-07
Last Update Date
2019-02-05
Business Address
DEBORAH BROKAW CDCA
213 E CHESTNUT ST
MOUNT VERNON, OH 43050-3404
Phone number: 740-326-9255
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Mailing Address
DEBORAH BROKAW CDCA
213 E CHESTNUT ST
MOUNT VERNON, OH 43050-3404
Phone number: 740-397-2660
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