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1184134942
BRENDA KING
JACKSON, OH
NPI
1184134942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 141047)
Enumeration Date
2017-10-06
Last Update Date
2017-10-06
Business Address
BRENDA KING LCDCIII
151 E MAIN ST
JACKSON, OH 45640-1742
Phone number: 740-286-1888
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Mailing Address
BRENDA KING LCDCIII
9645 BEAVER PIKE
JACKSON, OH 45640-9310
Phone number:
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