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1730520917
SCOTT L SELF
WOOSTER, OH
NPI
1730520917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH ICDC943853-CS)
Enumeration Date
2013-07-16
Last Update Date
2013-07-16
Business Address
Mr. SCOTT L SELF LICDC, S.A.P.
2587 BACK ORRVILLE RD
WOOSTER, OH 44691-9523
Phone number: 330-264-9597
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Mailing Address
Mr. SCOTT L SELF LICDC, S.A.P.
2587 BACK ORRVILLE RD
WOOSTER, OH 44691-9523
Phone number: 330-264-9597
Copy
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