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1366089302
AMBER SELF
PIKETON, OH
NPI
1366089302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 167871)
Enumeration Date
2019-12-10
Last Update Date
2019-12-10
Business Address
AMBER SELF
15221 ST RT 124
PIKETON, OH 45661
Phone number: 740-947-6727
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Mailing Address
AMBER SELF
1957 WESTERN AVE APT 611
CHILLICOTHE, OH 45601-7513
Phone number:
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