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1205417979
JOSEPH DURHAM
DAYTON, OH
NPI
1205417979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.176190)
Enumeration Date
2021-04-15
Last Update Date
2021-04-15
Business Address
JOSEPH DURHAM
627 ELIZABETH PLACE
DAYTON, OH 45417
Phone number: 937-229-6837
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Mailing Address
JOSEPH DURHAM
500 E 3RD ST APT 228
DAYTON, OH 45402-5112
Phone number: 937-561-4595
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