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1639911522
THEODORE LESLIE
NILES, OH
NPI
1639911522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.186959)
Enumeration Date
2024-06-11
Last Update Date
2024-06-11
Business Address
THEODORE LESLIE
1500 MCKINLEY AVE
NILES, OH 44446-3718
Phone number: 330-953-3300
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Mailing Address
THEODORE LESLIE
5760 PATRIOT BLVD
AUSTINTOWN, OH 44515-1170
Phone number: 330-953-0243
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