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1407557697
MICHAEL VANDERVEEN
DAYTON, OH
NPI
1407557697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.183231)
Enumeration Date
2023-03-14
Last Update Date
2023-03-14
Business Address
MICHAEL VANDERVEEN CDCA
4977 NORTHCUTT PL
DAYTON, OH 45414-3839
Phone number: 937-387-6395
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Mailing Address
MICHAEL VANDERVEEN CDCA
8037 TOWSON BLVD
MIAMISBURG, OH 45342-3747
Phone number: 937-580-5760
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