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1508464884
WAYLON EVANS
PORTSMOUTH, OH
NPI
1508464884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 174243)
Enumeration Date
2020-10-09
Last Update Date
2020-10-09
Business Address
WAYLON EVANS CDCA
411 COURT ST
PORTSMOUTH, OH 45662-3932
Phone number: 740-354-8004
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Mailing Address
WAYLON EVANS CDCA
411 COURT ST
PORTSMOUTH, OH 45662-3932
Phone number:
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