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1376045005
SHANE BAKOVICH
AKRON, OH
NPI
1376045005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH E.1901061)
Enumeration Date
2018-03-08
Last Update Date
2019-02-26
Business Address
SHANE BAKOVICH LPCC
1221 E WATERLOO RD
AKRON, OH 44306
Phone number: 234-208-4300
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Mailing Address
SHANE BAKOVICH LPCC
1221 E WATERLOO RD
AKRON, OH 44306-3805
Phone number: 234-208-4300
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