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1306016449
SHIRLEY STROUD RIDDLE
CANTON, OH
NPI
1306016449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 0003895)
Enumeration Date
2008-03-05
Last Update Date
2008-03-05
Business Address
-- SHIRLEY STROUD RIDDLE LISW
1341 MARKET AVE N
CANTON, OH 44714-2605
Phone number: 330-453-8252
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Mailing Address
-- SHIRLEY STROUD RIDDLE LISW
1341 MARKET AVE N
CANTON, OH 44714-2605
Phone number: 330-453-8252
Copy
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