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1518633817
JACOB TAYLOR
CIRCLEVILLE, OH
NPI
1518633817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.176698)
Enumeration Date
2021-08-18
Last Update Date
2021-08-18
Business Address
JACOB TAYLOR CDCA
2065 STONERIDGE DR
CIRCLEVILLE, OH 43113-8956
Phone number: 740-500-1391
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Mailing Address
JACOB TAYLOR CDCA
2065 STONERIDGE DR
CIRCLEVILLE, OH 43113-8956
Phone number: 740-500-1391
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