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1639639719
TOM COLIC
LODI, OH
NPI
1639639719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 169850)
Enumeration Date
2019-03-23
Last Update Date
2019-03-23
Business Address
TOM COLIC CDCA
737 BANK ST
LODI, OH 44254-1025
Phone number: 330-636-1741
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Mailing Address
TOM COLIC CDCA
737 BANK ST
LODI, OH 44254-1025
Phone number: 330-636-1741
Copy
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