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1295207108
CHARLES VINCENT WOOTEN
TOLEDO, OH
NPI
1295207108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-12-18
Last Update Date
2019-12-02
Business Address
CHARLES VINCENT WOOTEN
2005 ASHLAND AVE
TOLEDO, OH 43620
Phone number: 419-841-7701
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Mailing Address
CHARLES VINCENT WOOTEN
2005 ASHLAND AVE
TOLEDO, OH 43620-1703
Phone number: 419-841-7701
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