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1871081067
AMANDA BETH HACKWORTH
IRONTON, OH
NPI
1871081067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
AMANDA BETH HACKWORTH CDCA
5998 STATE ROUTE 650
IRONTON, OH 45638-8652
Phone number: 740-533-9192
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Mailing Address
AMANDA BETH HACKWORTH CDCA
611 RAILROAD ST
IRONTON, OH 45638-1446
Phone number: 740-533-9850
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