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1750709044
MACK SANDERS
MANSFIELD, OH
NPI
1750709044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 954409)
Enumeration Date
2014-04-03
Last Update Date
2014-04-03
Business Address
-- MACK SANDERS LSW, LICDC - CS
400 BOWMAN ST
MANSFIELD, OH 44903-1235
Phone number: 419-525-3525
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Mailing Address
-- MACK SANDERS LSW, LICDC - CS
400 BOWMAN ST
MANSFIELD, OH 44903-1235
Phone number: 419-525-3525
Copy
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