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1649828385
LISA STANFORD
CANTON, OH
NPI
1649828385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
LISA STANFORD
304 15TH ST NE STE B
CANTON, OH 44714-2523
Phone number: 234-504-3008
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Mailing Address
LISA STANFORD
304 15TH ST NE STE B
CANTON, OH 44714-2523
Phone number: 234-504-3008
Copy
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