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1447611033
CHARLES MEAD
LORAIN, OH
NPI
1447611033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: S.0016724)
Enumeration Date
2016-03-10
Last Update Date
2016-03-10
Business Address
-- CHARLES MEAD LSW
2115 WEST PARK DRIVE
LORAIN, OH 44053
Phone number: 440-989-4987
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Mailing Address
-- CHARLES MEAD LSW
2115 WEST PARK DRIVE
LORAIN, OH 44053
Phone number: 440-989-4987
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