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1487008116
GAVIN NOAH
MILFORD, OH
NPI
1487008116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 140763)
Enumeration Date
2016-04-19
Last Update Date
2016-04-19
Business Address
-- GAVIN NOAH CDCA
50 W TECHNE CENTER DR
MILFORD, OH 45150-8403
Phone number: 513-753-9964
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Mailing Address
-- GAVIN NOAH CDCA
4575 STATE ROUTE 124
LYNCHBURG, OH 45142-9374
Phone number: 937-509-1609
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