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1326459207
MARLA MCVICKER
CANTON, OH
NPI
1326459207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.130376-PRE)
Enumeration Date
2014-05-14
Last Update Date
2014-05-14
Business Address
-- MARLA MCVICKER CDCA
811 FAIRCREST STREET SW
CANTON, OH 44706
Phone number: 330-639-4408
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Mailing Address
-- MARLA MCVICKER CDCA
1341 MARKET AVE N
CANTON, OH 44714-2605
Phone number: 330-453-8252
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