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1205418506
ALEXIS JOY BOGAN
AUSTINTOWN, OH
NPI
1205418506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-04-26
Last Update Date
2021-04-26
Business Address
ALEXIS JOY BOGAN
45 N CANFIELD NILES RD
AUSTINTOWN, OH 44515-2343
Phone number: 330-330-8555
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Mailing Address
ALEXIS JOY BOGAN
45 N CANFIELD NILES RD
AUSTINTOWN, OH 44515-2343
Phone number: 330-330-8555
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