TAUNDRA LAVAE EZELL

HOLLAND, OH
NPI1689166696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA167234)
Enumeration Date2018-06-05
Last Update Date2018-06-05
Business Address
TAUNDRA LAVAE EZELL CDAC
350 S. IRWIN
HOLLAND, OH 43525
Phone number: 567-703-9064
Mailing Address
TAUNDRA LAVAE EZELL CDAC
350 S. IRWIN
HOLLAND, OH 43528
Phone number: 567-703-9064
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