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1790298172
BREANA R MITCHELL
CANTON, OH
NPI
1790298172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.164551)
Enumeration Date
2017-11-08
Last Update Date
2017-11-08
Business Address
BREANA R MITCHELL
1711 SPRING AVE NE
CANTON, OH 44714-2349
Phone number: 330-454-6800
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Mailing Address
BREANA R MITCHELL
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-455-0374
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