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1619513165
KEITH BROOKS MOONEY
CANTON, OH
NPI
1619513165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA171463)
Enumeration Date
2019-11-20
Last Update Date
2019-11-20
Business Address
KEITH BROOKS MOONEY CDCA
811 FAIRCREST ST SW
CANTON, OH 44706-4844
Phone number: 330-639-4408
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Mailing Address
KEITH BROOKS MOONEY CDCA
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-455-0374
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