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1194235903
KEVIN CARROLL
COLUMBUS, OH
NPI
1194235903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA976115)
Enumeration Date
2017-10-06
Last Update Date
2017-10-06
Business Address
KEVIN CARROLL CDCA
547 E 11TH AVE
COLUMBUS, OH 43211-2603
Phone number: 614-224-4506
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Mailing Address
KEVIN CARROLL CDCA
547 E 11TH AVE
COLUMBUS, OH 43211-2603
Phone number: 614-224-4506
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