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1710674486
SAM R FORD
TOLEDO, OH
NPI
1710674486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA162201)
Enumeration Date
2023-04-21
Last Update Date
2023-04-21
Business Address
SAM R FORD CDCA 11
500 MADISON AVE STE 340
TOLEDO, OH 43604-1277
Phone number: 419-360-8251
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Mailing Address
SAM R FORD CDCA 11
2428 W CENTRAL AVE APT 2B
TOLEDO, OH 43606-3715
Phone number: 419-360-8251
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