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1306204979
CONNIE UNDERWOOD
CINCINNATI, OH
NPI
1306204979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LCDCIII161742)
Enumeration Date
2016-02-10
Last Update Date
2018-07-07
Business Address
CONNIE UNDERWOOD LCDC III
2211 FULTON AVE
CINCINNATI, OH 45206
Phone number: 513-961-4663
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Mailing Address
CONNIE UNDERWOOD LCDC III
3819 SIMPSON AVE
CINCINNATI, OH 45227-3642
Phone number: 513-304-3467
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