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1679083778
WANDA WEST
NEWARK, OH
NPI
1679083778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 081215)
Enumeration Date
2017-10-04
Last Update Date
2017-10-04
Business Address
WANDA WEST LCDCII
65 MESSIMER DR
NEWARK, OH 43055-1874
Phone number: 740-345-7030
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Mailing Address
WANDA WEST LCDCII
65 MESSIMER DR
NEWARK, OH 43055-1874
Phone number: 740-345-7030
Copy
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