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1386150134
TREVOR ARTHUR BRAUKMAN
NEWARK, OH
NPI
1386150134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LCDCIII.162789)
Enumeration Date
2017-12-15
Last Update Date
2024-12-23
Business Address
TREVOR ARTHUR BRAUKMAN LCDCIII
974 N 21ST ST
NEWARK, OH 43055-2990
Phone number: 833-510-4357
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Mailing Address
TREVOR ARTHUR BRAUKMAN LCDCIII
4600 MONTGOMERY RD STE 400
CINCINNATI, OH 45212-2600
Phone number:
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