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1346965506
JORDON M DISTAD
MENTOR, OH
NPI
1346965506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: OH E2203129)
Enumeration Date
2022-10-10
Last Update Date
2022-10-10
Business Address
JORDON M DISTAD LPCC
8224 MENTOR AVE STE 208
MENTOR, OH 44060-5743
Phone number: 440-392-2222
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Mailing Address
JORDON M DISTAD LPCC
8224 MENTOR AVE STE 208
MENTOR, OH 44060-5743
Phone number: 440-392-2222
Copy
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