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1174230619
WAYNE STEVENS
SHELBY, OH
NPI
1174230619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.181714)
Enumeration Date
2022-11-03
Last Update Date
2022-11-03
Business Address
WAYNE STEVENS
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 419-747-3322
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Mailing Address
WAYNE STEVENS
285 CLINE AVE APT R
MANSFIELD, OH 44907-1050
Phone number: 419-610-7047
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