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1699208645
TANYA HENDRICKS
LORAIN, OH
NPI
1699208645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.163066)
Enumeration Date
2017-04-06
Last Update Date
2017-04-06
Business Address
-- TANYA HENDRICKS CDCA
2115 W PARK DR
LORAIN, OH 44053-1138
Phone number: 440-989-4987
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Mailing Address
-- TANYA HENDRICKS CDCA
2115 W PARK DR
LORAIN, OH 44053-1138
Phone number: 440-989-4987
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