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1306357215
JOSEPH BLAKE PERDUE
PIKETON, OH
NPI
1306357215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.140119)
Enumeration Date
2017-10-18
Last Update Date
2017-10-18
Business Address
JOSEPH BLAKE PERDUE CDCA Phase 2
15221 STATE ROUTE 772
PIKETON, OH 45661-9062
Phone number: 740-493-4260
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Mailing Address
JOSEPH BLAKE PERDUE CDCA Phase 2
15221 STATE ROUTE 772
PIKETON, OH 45661-9062
Phone number: 740-493-4260
Copy
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