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1609381912
DOUGLAS BOOSE
FAIRVIEW PARK, OH
NPI
1609381912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LICDC.161467)
Enumeration Date
2017-12-08
Last Update Date
2017-12-08
Business Address
DOUGLAS BOOSE
20800 WESTGATE PROFESSIONAL CENTER SUITE 200
FAIRVIEW PARK, OH 44126
Phone number: 440-333-4949
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Mailing Address
DOUGLAS BOOSE
20800 WESTGATE PROFESSIONAL CENTER SUITE 200
FAIRVIEW PARK, OH 44126
Phone number: 440-333-4949
Copy
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