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1659139327
WESLEY ALLEN SOUTHERS
DAYTON, OH
NPI
1659139327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 187586)
Enumeration Date
2024-03-07
Last Update Date
2024-03-07
Business Address
WESLEY ALLEN SOUTHERS CDCA
701 FIVE OAKS AVE
DAYTON, OH 45406-5218
Phone number: 937-877-7863
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Mailing Address
WESLEY ALLEN SOUTHERS CDCA
701 FIVE OAKS AVE
DAYTON, OH 45406-5218
Phone number: 937-877-7863
Copy
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