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1639903115
KEVIN TALERICO
CLARKSBURG, WV
NPI
1639903115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-08-28
Last Update Date
2024-08-28
Business Address
Mr. KEVIN TALERICO Ma
706 OAK MOUND RD
CLARKSBURG, WV 26301
Phone number: 304-969-5072
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Mailing Address
Mr. KEVIN TALERICO Ma
1107 EAST MAIN STREET
CLARKSBURG, WV 26301
Phone number: 774-615-2060
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