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1407465826
POLLY L JASON
LAKEWOOD, OH
NPI
1407465826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 0001575)
Enumeration Date
2020-07-31
Last Update Date
2020-07-31
Business Address
POLLY L JASON peer supporter
11720 EDGEWATER DR APT 816
LAKEWOOD, OH 44107-6730
Phone number: 216-798-0759
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Mailing Address
POLLY L JASON peer supporter
11720 EDGEWATER DR APT 816
LAKEWOOD, OH 44107-6730
Phone number: 216-798-0759
Copy
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