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1861557829
JACK TIMOTHY KENNEDY
CINCINNATI, OH
NPI
1861557829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH 991698)
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
MR. JACK TIMOTHY KENNEDY M.A. LICDC
8833 CHAPELSQUARE LN
CINCINNATI, OH 45249-4705
Phone number: 513-774-9444
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Mailing Address
MR. JACK TIMOTHY KENNEDY M.A. LICDC
8833 CHAPELSQUARE LN
CINCINNATI, OH 45249-4705
Phone number: 513-774-9444
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