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1194237925
SEAN LOLLIS
SPRINGFIELD, OH
NPI
1194237925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.161630)
Enumeration Date
2017-11-02
Last Update Date
2017-11-02
Business Address
SEAN LOLLIS
623 S CENTER ST
SPRINGFIELD, OH 45506-2209
Phone number: 937-328-5300
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Mailing Address
SEAN LOLLIS
1101 E HIGH ST
SPRINGFIELD, OH 45505-1121
Phone number: 937-328-5300
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