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1538405006
BRIAN MICHAEL THATCHER
MENTOR, OH
NPI
1538405006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 011427)
Enumeration Date
2013-01-02
Last Update Date
2013-01-02
Business Address
-- BRIAN MICHAEL THATCHER LCDC-III
9083 MENTOR AVE
MENTOR, OH 44060-6462
Phone number: 440-255-0678
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Mailing Address
-- BRIAN MICHAEL THATCHER LCDC-III
9083 MENTOR AVE
MENTOR, OH 44060-6462
Phone number:
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