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1538794433
CHRISTINA J LIVELY
MOUNT VERNON, OH
NPI
1538794433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.172329)
Enumeration Date
2020-03-11
Last Update Date
2020-03-11
Business Address
CHRISTINA J LIVELY
213 E CHESTNUT ST
MOUNT VERNON, OH 43050-3404
Phone number: 740-326-9255
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Mailing Address
CHRISTINA J LIVELY
213 E CHESTNUT ST
MOUNT VERNON, OH 43050-3404
Phone number: 740-326-9255
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