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1366951832
JEFFREY GRACE
BOARDMAN, OH
NPI
1366951832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 163775)
Enumeration Date
2017-09-27
Last Update Date
2017-09-27
Business Address
JEFFREY GRACE CDCA
960 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512-4220
Phone number: 330-259-8813
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Mailing Address
JEFFREY GRACE CDCA
98 WESTCHESTER DR
YOUNGSTOWN, OH 44515-3901
Phone number: 330-259-8813
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