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1366955775
JACQUELINE JILL CLAGG
GALLIPOLIS, OH
NPI
1366955775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 150474)
Enumeration Date
2017-11-07
Last Update Date
2017-11-07
Business Address
JACQUELINE JILL CLAGG CDCA
499 JACKSON PIKE
GALLIPOLIS, OH 45631-1398
Phone number: 740-441-2925
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Mailing Address
JACQUELINE JILL CLAGG CDCA
15730 STATE ROUTE 160
VINTON, OH 45686-9069
Phone number: 740-612-0452
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