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1508375551
ALICE MAE BLACKWELL
COLUMBUS, OH
NPI
1508375551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 111542)
Enumeration Date
2017-09-21
Last Update Date
2017-09-21
Business Address
ALICE MAE BLACKWELL
16 W LONG ST
COLUMBUS, OH 43215-2815
Phone number: 614-225-0990
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Mailing Address
ALICE MAE BLACKWELL
16 W LONG ST
COLUMBUS, OH 43215-2815
Phone number:
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