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1548828668
KODIE LINCOLN MCCULLY
KENT, OH
NPI
1548828668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-04
Last Update Date
2019-06-04
Business Address
KODIE LINCOLN MCCULLY
143 GOUGLER AVE
KENT, OH 44240-2401
Phone number: 330-412-5221
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Mailing Address
KODIE LINCOLN MCCULLY
143 GOUGLER AVE
KENT, OH 44240-2401
Phone number:
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