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1669187589
JACOB T THEADEMAN
CINCINNATI, OH
NPI
1669187589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.183225)
Enumeration Date
2023-01-16
Last Update Date
2023-01-16
Business Address
JACOB T THEADEMAN
1501 MADISON RD
CINCINNATI, OH 45206
Phone number: 513-354-5200
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Mailing Address
JACOB T THEADEMAN
1501 MADISON RD
CINCINNATI, OH 45206
Phone number: 513-354-5200
Copy
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