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1376032573
JOHN CARLSON
EUCLID, OH
NPI
1376032573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 140873)
Enumeration Date
2018-05-03
Last Update Date
2018-05-03
Business Address
JOHN CARLSON CDCA
22639 EUCLID AVE
EUCLID, OH 44117-1622
Phone number: 216-404-1900
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Mailing Address
JOHN CARLSON CDCA
3564 WEST BLVD
CLEVELAND, OH 44111-3854
Phone number: 216-671-9181
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