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1669872107
BRADLEY JACK BEATTY
GROVE CITY, OH
NPI
1669872107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 910395)
Enumeration Date
2014-09-03
Last Update Date
2014-09-03
Business Address
Mr. BRADLEY JACK BEATTY LICDC-CS
3767 RICHARD AVE
GROVE CITY, OH 43123-2417
Phone number: 614-877-2441
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Mailing Address
Mr. BRADLEY JACK BEATTY LICDC-CS
3767 RICHARD AVE
GROVE CITY, OH 43123-2417
Phone number: 614-877-2441
Copy
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