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1881190585
JIMMY SCOTT VANDYKE
PIQUA, OH
NPI
1881190585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LICDC.161792)
Enumeration Date
2018-04-02
Last Update Date
2024-09-10
Business Address
JIMMY SCOTT VANDYKE LICDC
1830 W HIGH ST
PIQUA, OH 45356-9399
Phone number: 513-834-7063
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Mailing Address
JIMMY SCOTT VANDYKE LICDC
4600 MONTGOMERY RD STE 400
CINCINNATI, OH 45212-2600
Phone number:
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