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1700348455
DEIDRE BLACK
COLUMBUS, OH
NPI
1700348455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-04-02
Last Update Date
2019-04-02
Business Address
DEIDRE BLACK
4000 E MAIN ST
COLUMBUS, OH 43213-2950
Phone number: 614-334-6903
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Mailing Address
DEIDRE BLACK
4000 E MAIN ST
COLUMBUS, OH 43213-2950
Phone number:
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