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1740785120
KRISTA LYNNE STRUB
PORT CLINTON, OH
NPI
1740785120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 161338)
Enumeration Date
2018-03-27
Last Update Date
2018-03-27
Business Address
KRISTA LYNNE STRUB MSCJ, LCDC III
304 MADISON ST
PORT CLINTON, OH 43452
Phone number: 419-734-5535
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Mailing Address
KRISTA LYNNE STRUB MSCJ, LCDC III
304 MADISON ST
PORT CLINTON, OH 43452-1937
Phone number:
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