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1346744067
TRACEY EVENER
ATHENS, OH
NPI
1346744067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 121358)
Enumeration Date
2018-03-19
Last Update Date
2018-06-16
Business Address
TRACEY EVENER CDCA
10050 BASSETT RD
ATHENS, OH 45701-3626
Phone number: 740-594-8108
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Mailing Address
TRACEY EVENER CDCA
224 COLUMBUS RD
ATHENS, OH 45701-1334
Phone number: 740-592-6724
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