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1841763141
BRANT ANDREW BOLEN
YOUNGSTOWN, OH
NPI
1841763141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 169193)
Enumeration Date
2019-01-09
Last Update Date
2019-01-09
Business Address
Mr. BRANT ANDREW BOLEN cdca
1319 FLORENCEDALE AVE
YOUNGSTOWN, OH 44505-2719
Phone number: 330-553-4545
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Mailing Address
Mr. BRANT ANDREW BOLEN cdca
251 N BEVERLY AVE
YOUNGSTOWN, OH 44515-2827
Phone number: 330-553-4545
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