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1225524267
TRACY LLEWELLYN
JACKSON, OH
NPI
1225524267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH 140371)
Enumeration Date
2018-07-02
Last Update Date
2018-07-02
Business Address
TRACY LLEWELLYN CDCA
10 LADY AVE
JACKSON, OH 45640-1018
Phone number: 740-577-3334
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Mailing Address
TRACY LLEWELLYN CDCA
10 LADY AVE # 978
JACKSON, OH 45640-1018
Phone number: 740-577-3334
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