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1588287650
SAMANTHA JO LUCKENBILL
COLUMBUS, OH
NPI
1588287650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 000356738)
Enumeration Date
2020-05-25
Last Update Date
2020-09-22
Business Address
Miss SAMANTHA JO LUCKENBILL CDCA II
6400 E BROAD ST FL 4
COLUMBUS, OH 43213-2086
Phone number: 614-655-3345
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Mailing Address
Miss SAMANTHA JO LUCKENBILL CDCA II
6400 E BROAD ST FL 4
COLUMBUS, OH 43213-2086
Phone number: 614-655-3345
Copy
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