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1407379969
KEVIN LUZADER
MOUNT VERNON, OH
NPI
1407379969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.120930)
Enumeration Date
2017-07-17
Last Update Date
2017-07-17
Business Address
KEVIN LUZADER CDCA
106 E GAMBIER ST
MOUNT VERNON, OH 43050-3510
Phone number: 740-501-1266
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Mailing Address
KEVIN LUZADER CDCA
106 E GAMBIER ST
MOUNT VERNON, OH 43050-3510
Phone number: 740-501-1266
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