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1659981900
DARRYL CHILDRESS
CLEVELAND, OH
NPI
1659981900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 171306)
Enumeration Date
2020-08-02
Last Update Date
2020-08-02
Business Address
DARRYL CHILDRESS CDCA
8411 BROADWAY AVE
CLEVELAND, OH 44105-3932
Phone number: 216-641-2316
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Mailing Address
DARRYL CHILDRESS CDCA
8411 BROADWAY AVE
CLEVELAND, OH 44105-3932
Phone number: 216-641-2316
Copy
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