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1659983260
LAWRENCE JOHN DAVIS
SAINT CLAIRSVILLE, OH
NPI
1659983260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH 173229)
Enumeration Date
2020-08-17
Last Update Date
2020-08-17
Business Address
LAWRENCE JOHN DAVIS CDCA
255 W MAIN ST
SAINT CLAIRSVILLE, OH 43950-1040
Phone number: 740-695-9447
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Mailing Address
LAWRENCE JOHN DAVIS CDCA
PO BOX 118
SAINT CLAIRSVILLE, OH 43950-0118
Phone number: 740-695-9447
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