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1477027290
KELSEY JANINE VASICEK
MEDINA, OH
NPI
1477027290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 162490)
Enumeration Date
2019-01-15
Last Update Date
2023-05-11
Business Address
KELSEY JANINE VASICEK BS, LCDC III, GAMBp
555 INDEPENDENCE DR
MEDINA, OH 44256-2460
Phone number: 330-635-0969
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Mailing Address
KELSEY JANINE VASICEK BS, LCDC III, GAMBp
246 NORTHLAND DR STE 200A
MEDINA, OH 44256-3440
Phone number:
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