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1720590441
CHARLENE BRUSS
LOGAN, OH
NPI
1720590441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 101061)
Enumeration Date
2017-11-03
Last Update Date
2017-11-03
Business Address
CHARLENE BRUSS LCDCII
12877 GREY ST
LOGAN, OH 43138-9638
Phone number: 740-380-1714
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Mailing Address
CHARLENE BRUSS LCDCII
12877 GREY ST
LOGAN, OH 43138-9638
Phone number: 740-380-1714
Copy
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