MICHAEL CLEVINGER

XENIA, OH
NPI1790180719
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  090412)
Enumeration Date2014-11-03
Last Update Date2014-11-03
Business Address
-- MICHAEL CLEVINGER
476 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
Mailing Address
-- MICHAEL CLEVINGER
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
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