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1588129068
AMANDA LYNNE PENKOVA
MILFORD, OH
NPI
1588129068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LCDCIII.161664)
Enumeration Date
2019-02-08
Last Update Date
2019-02-08
Business Address
AMANDA LYNNE PENKOVA MA, LCDC III
950 LILA AVE
MILFORD, OH 45150-1683
Phone number: 937-546-8212
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Mailing Address
AMANDA LYNNE PENKOVA MA, LCDC III
950 LILA AVE
MILFORD, OH 45150-1683
Phone number: 937-546-8212
Copy
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