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1841803236
DEREK BEASLEY
DAYTON, OH
NPI
1841803236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 170758)
Enumeration Date
2020-08-26
Last Update Date
2020-08-26
Business Address
DEREK BEASLEY cdca
4124 LINDEN AVE
DAYTON, OH 45432-3018
Phone number: 937-422-2902
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Mailing Address
DEREK BEASLEY cdca
2612 LYNHURST AVE
DAYTON, OH 45420-2712
Phone number: 937-422-2902
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