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1285125955
ALPHONSO NEELY
CLEVELAND, OH
NPI
1285125955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA167228)
Enumeration Date
2018-05-29
Last Update Date
2024-05-14
Business Address
ALPHONSO NEELY
8411 BROADWAY AVE
CLEVELAND, OH 44105-3932
Phone number: 216-206-5226
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Mailing Address
ALPHONSO NEELY
8411 BROADWAY AVE
CLEVELAND, OH 44105-3932
Phone number: 216-206-5226
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