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1316635857
CRYSTAL MARIE WHITECOTTON
WHEELING, WV
NPI
1316635857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LICDC.16323)
Enumeration Date
2023-04-24
Last Update Date
2023-04-24
Business Address
CRYSTAL MARIE WHITECOTTON LICDC
3810 WOOD ST
WHEELING, WV 26003-4358
Phone number: 304-639-2694
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Mailing Address
CRYSTAL MARIE WHITECOTTON LICDC
3810 WOOD ST
WHEELING, WV 26003-4358
Phone number: 304-639-2694
Copy
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