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1316707151
SAMUEL DAVIS
COLUMBUS, OH
NPI
1316707151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-03-20
Last Update Date
2024-07-31
Business Address
SAMUEL DAVIS
815 W BROAD ST STE 200
COLUMBUS, OH 43222-1478
Phone number: 614-717-0822
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Mailing Address
SAMUEL DAVIS
815 W BROAD ST STE 200
COLUMBUS, OH 43222-1478
Phone number: 614-717-0822
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