POLLY L JASON

LAKEWOOD, OH
NPI1407465826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  0001575)
Enumeration Date2020-07-31
Last Update Date2020-07-31
Business Address
POLLY L JASON PEER SUPPORTER
11720 EDGEWATER DR APT 816
LAKEWOOD, OH 44107-6730
Phone number: 216-798-0759
Mailing Address
POLLY L JASON PEER SUPPORTER
11720 EDGEWATER DR APT 816
LAKEWOOD, OH 44107-6730
Phone number: 216-798-0759
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