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1497035067
DENNIS MICHELSON
MENTOR, OH
NPI
1497035067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 081046)
Enumeration Date
2011-08-26
Last Update Date
2011-08-26
Business Address
-- DENNIS MICHELSON LCDC III
9083 MENTOR AVE
MENTOR, OH 44060-6462
Phone number: 440-205-2674
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Mailing Address
-- DENNIS MICHELSON LCDC III
9083 MENTOR AVE
MENTOR, OH 44060-6462
Phone number: 440-205-2674
Copy
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