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1861090607
KELISHA F WHEATLEY
IRONTON, OH
NPI
1861090607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.175191)
Enumeration Date
2020-10-14
Last Update Date
2021-03-24
Business Address
KELISHA F WHEATLEY
1724 S 3RD ST
IRONTON, OH 45638-2269
Phone number: 740-479-5135
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Mailing Address
KELISHA F WHEATLEY
1724 S 3RD ST
IRONTON, OH 45638-2269
Phone number: 740-479-5135
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