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1629555388
BRACK GOOLSBY
ATHENS, OH
NPI
1629555388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-07-25
Last Update Date
2018-07-25
Business Address
BRACK GOOLSBY
11 GRAHAM DR
ATHENS, OH 45701-1430
Phone number: 800-321-8293
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Mailing Address
BRACK GOOLSBY
11 GRAHAM DR
ATHENS, OH 45701-1430
Phone number:
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