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1861100943
MIRANDA FEDOR
WADSWORTH, OH
NPI
1861100943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 179950)
Enumeration Date
2022-11-08
Last Update Date
2022-11-08
Business Address
MIRANDA FEDOR
205 WADSWORTH RD
WADSWORTH, OH 44281-9580
Phone number: 234-217-8882
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Mailing Address
MIRANDA FEDOR
5078 HONEYSTONE CIR
MEDINA, OH 44256-6596
Phone number: 330-410-5595
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