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1477163699
TINA LOUISE KING
BEACHWOOD, OH
NPI
1477163699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-08-03
Last Update Date
2020-08-03
Business Address
TINA LOUISE KING LCDCIII
3793 GREEN RD
BEACHWOOD, OH 44122-5705
Phone number: 216-232-5302
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Mailing Address
TINA LOUISE KING LCDCIII
3793 GREEN RD
BEACHWOOD, OH 44122-5705
Phone number: 216-232-5302
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