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1386465813
JESSICA LUCAS
XENIA, OH
NPI
1386465813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.185018)
Enumeration Date
2024-10-17
Last Update Date
2024-10-17
Business Address
JESSICA LUCAS
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
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Mailing Address
JESSICA LUCAS
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
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