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1649819012
KEVIN JAMAL MUHAMMAD
MANSFIELD, OH
NPI
1649819012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.171092)
Enumeration Date
2020-01-02
Last Update Date
2020-01-02
Business Address
KEVIN JAMAL MUHAMMAD CDCA
680 PARK AVE W
MANSFIELD, OH 44906-3706
Phone number: 419-528-5993
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Mailing Address
KEVIN JAMAL MUHAMMAD CDCA
680 PARK AVE W
MANSFIELD, OH 44906-3706
Phone number: 419-528-5993
Copy
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