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1427048461
KENNETH G TEITLEBAUM
TOLEDO, OH
NPI
1427048461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH E0000115)
Enumeration Date
2005-10-21
Last Update Date
2007-10-16
Business Address
-- KENNETH G TEITLEBAUM
544 E WOODRUFF AVE
TOLEDO, OH 43624-1342
Phone number: 419-693-0631
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Mailing Address
-- KENNETH G TEITLEBAUM
PO BOX 10015
TOLEDO, OH 43699-0015
Phone number:
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