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1871180018
ENDIA DOMINIQUE SIMMONS
MARION, OH
NPI
1871180018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH cdca.75276)
Enumeration Date
2020-12-22
Last Update Date
2020-12-22
Business Address
ENDIA DOMINIQUE SIMMONS CDCA
1271 CRESCENT HIEGHTS RD
MARION, OH 43302
Phone number: 740-360-8910
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Mailing Address
ENDIA DOMINIQUE SIMMONS CDCA
527 E FAIRGROUND ST
MARION, OH 43302-2639
Phone number: 740-360-8910
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