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1801497003
MICHAEL VISINTAINER
ATHENS, OH
NPI
1801497003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.172595)
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
-- MICHAEL VISINTAINER CDCA
86 COLUMBUS RD
ATHENS, OH 45701-1300
Phone number: 740-594-2276
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Mailing Address
-- MICHAEL VISINTAINER CDCA
86 COLUMBUS RD
ATHENS, OH 45701-1300
Phone number: 740-594-2276
Copy
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