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1649936097
KELLY DAWN WHITE
LORAIN, OH
NPI
1649936097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.177841)
Enumeration Date
2021-11-10
Last Update Date
2021-11-10
Business Address
KELLY DAWN WHITE CDCA
2115 W PARK DR
LORAIN, OH 44053-1138
Phone number: 440-989-4900
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Mailing Address
KELLY DAWN WHITE CDCA
1712 E 31ST ST
LORAIN, OH 44055-1720
Phone number: 440-670-7110
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