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1215571088
CRYSTAL MARIE BAZEMORE
REYNOLDSBURG, OH
NPI
1215571088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 168708)
Enumeration Date
2019-11-04
Last Update Date
2019-11-04
Business Address
Ms. CRYSTAL MARIE BAZEMORE CDCA
1755 LANCASTER AVE
REYNOLDSBURG, OH 43068-3108
Phone number: 614-610-9023
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Mailing Address
Ms. CRYSTAL MARIE BAZEMORE CDCA
5664 DASHSHUND CT
COLUMBUS, OH 43232-7506
Phone number: 614-962-0842
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