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1417455536
WILLIE HANEY
KETTERING, OH
NPI
1417455536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH 010917)
Enumeration Date
2018-01-23
Last Update Date
2018-01-23
Business Address
WILLIE HANEY CDCA
3440 OFFICE PARK DR
KETTERING, OH 45439-2214
Phone number: 937-299-9060
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Mailing Address
WILLIE HANEY CDCA
3440 OFFICE PARK DR
KETTERING, OH 45439-2214
Phone number: 937-586-7725
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