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1699028159
MICHAEL A ANDERSON
CANTON, OH
NPI
1699028159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 110791)
Enumeration Date
2012-10-22
Last Update Date
2012-10-22
Business Address
Mr. MICHAEL A ANDERSON CDCA
1341 MARKET AVE N
CANTON, OH 44714-2605
Phone number: 330-453-8252
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Mailing Address
Mr. MICHAEL A ANDERSON CDCA
1341 MARKET AVE N
CANTON, OH 44714-2605
Phone number: 330-453-8252
Copy
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