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1609377431
RODERIC KENNETH JOHNSON
EUCLID, OH
NPI
1609377431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 165698)
Enumeration Date
2018-02-27
Last Update Date
2018-02-27
Business Address
Mr. RODERIC KENNETH JOHNSON CDCA
22639 EUCLID AVE
EUCLID, OH 44117-1622
Phone number: 216-404-1900
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Mailing Address
Mr. RODERIC KENNETH JOHNSON CDCA
3622 PROSPECT AVE E
CLEVELAND, OH 44115-2704
Phone number: 216-508-6649
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