LAWRENCE KAMODA

WARREN, OH
NPI1740482835
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  78111)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: OH  E626)
104100000X Social Worker
(Licence: OH  s1145)
Enumeration Date2007-06-01
Last Update Date2007-07-08
Business Address
Mr. LAWRENCE KAMODA .
320 HIGH ST NE
WARREN, OH 44481-1222
Phone number: 330-394-9090
Mailing Address
Mr. LAWRENCE KAMODA .
320 HIGH ST NE
WARREN, OH 44481-1222
Phone number: 330-394-9090