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1689284093
IAN MICHAEL DEWALT
CHARDON, OH
NPI
1689284093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OH C.1700329)
Enumeration Date
2020-08-01
Last Update Date
2020-08-01
Business Address
Mr. IAN MICHAEL DEWALT LPC
12557 RAVENWOOD DR
CHARDON, OH 44024-9009
Phone number: 440-285-3568
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Mailing Address
Mr. IAN MICHAEL DEWALT LPC
8295 PEBBLE CREEK CT
CHAGRIN FALLS, OH 44023-4866
Phone number: 216-408-4649
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