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1578130654
JEREMY ELLISON
TOLEDO, OH
NPI
1578130654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.176721)
Enumeration Date
2021-06-08
Last Update Date
2021-06-21
Business Address
JEREMY ELLISON
115 S REYNOLDS RD
TOLEDO, OH 43615-6958
Phone number: 419-725-6631
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Mailing Address
JEREMY ELLISON
4115 ARNELLE DR
TOLEDO, OH 43606-1004
Phone number:
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