ANTHONY IMAGIE-DOUGLAS

CIRCLEVILLE, OH
NPI1578146635
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  LICDC.111022)
Enumeration Date2021-05-05
Last Update Date2021-05-05
Business Address
ANTHONY IMAGIE-DOUGLAS LICDC
1875 STONERIDGE DR
CIRCLEVILLE, OH 43113-8956
Phone number: 740-500-1391
Mailing Address
ANTHONY IMAGIE-DOUGLAS LICDC
2065 STONERIDGE DR
CIRCLEVILLE, OH 43113-8956
Phone number: 740-500-1391
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