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1588152813
JONATHAN RICHARD BENNETT
CIRCLEVILLE, OH
NPI
1588152813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.111382)
Enumeration Date
2018-04-23
Last Update Date
2018-04-23
Business Address
Mr. JONATHAN RICHARD BENNETT CDCA
110 HIGHLAND AVE
CIRCLEVILLE, OH 43113-1208
Phone number: 740-477-1745
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Mailing Address
Mr. JONATHAN RICHARD BENNETT CDCA
110 HIGHLAND AVE
CIRCLEVILLE, OH 43113-1208
Phone number: 740-477-1745
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