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1548772965
JENNIFER MAE LAVENE BREITENBACH
PIKETON, OH
NPI
1548772965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 162885)
Enumeration Date
2017-10-25
Last Update Date
2017-10-25
Business Address
JENNIFER MAE LAVENE BREITENBACH CDCA
15221 STATE ROUTE 772
PIKETON, OH 45661-9062
Phone number: 740-493-4260
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Mailing Address
JENNIFER MAE LAVENE BREITENBACH CDCA
PO BOX 226
WAVERLY, OH 45690-0226
Phone number: 740-493-4260
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