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1851757017
ANDREA ANTCZAK
DAYTON, OH
NPI
1851757017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-01-04
Last Update Date
2016-07-22
Business Address
Ms. ANDREA ANTCZAK
2650 NETHERLAND DR
DAYTON, OH 45431-7735
Phone number: 321-210-5678
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Mailing Address
Ms. ANDREA ANTCZAK
2650 NETHERLANBD DR.
DAYTON, OH 45430
Phone number:
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