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1215370176
IVAN ROSA
CANTON, OH
NPI
1215370176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH 902754CS)
Enumeration Date
2013-04-10
Last Update Date
2024-05-04
Business Address
MR. IVAN ROSA LICDC, LSW
1341 MARKET AVE N
CANTON, OH 44714-2605
Phone number: 330-453-8252
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Mailing Address
MR. IVAN ROSA LICDC, LSW
1341 MARKET AVE N
CANTON, OH 44714-2605
Phone number: 330-453-8252
Copy
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