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1346705498
BETH BROOKS
LOGAN, OH
NPI
1346705498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 001055)
Enumeration Date
2019-02-04
Last Update Date
2019-02-04
Business Address
-- BETH BROOKS
12877 GREY ST
LOGAN, OH 43138-9638
Phone number: 740-380-1714
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Mailing Address
-- BETH BROOKS
PO BOX 88
GALLIPOLIS, OH 45631-0088
Phone number:
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