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1487149605
TINA JOY ZICKEFOOSE
WOOSTER, OH
NPI
1487149605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 140173)
Enumeration Date
2018-06-29
Last Update Date
2018-06-29
Business Address
TINA JOY ZICKEFOOSE
104 SPINK ST
WOOSTER, OH 44691-3652
Phone number: 330-264-3777
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Mailing Address
TINA JOY ZICKEFOOSE
104 SPINK ST
WOOSTER, OH 44691-3652
Phone number:
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