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1780034108
SAMUEL FORD
CLEVELAND, OH
NPI
1780034108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 101113)
Enumeration Date
2016-06-16
Last Update Date
2016-06-16
Business Address
-- SAMUEL FORD
1320 WASHINGTON AVE
CLEVELAND, OH 44113-2333
Phone number: 216-727-2063
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Mailing Address
-- SAMUEL FORD
1320 WASHINGTON AVE
CLEVELAND, OH 44113-2333
Phone number:
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