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1679549554
SUSAN JEAN LIKOVICH
MEDINA, OH
NPI
1679549554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 841183)
Enumeration Date
2006-02-28
Last Update Date
2007-07-08
Business Address
Mrs. SUSAN JEAN LIKOVICH LICDC
246 NORTHLAND DR
MEDINA, OH 44256-1533
Phone number: 330-764-3667
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Mailing Address
Mrs. SUSAN JEAN LIKOVICH LICDC
4322 REGAL BROOK DR
MEDINA, OH 44256-6932
Phone number: 330-721-8814
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