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1881805687
JENNIFER RUTH FAZZOLARI
PARKERSBURG, WV
NPI
1881805687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
-- JENNIFER RUTH FAZZOLARI
184 HOLIDAY HILLS DR
PARKERSBURG, WV 26104-8006
Phone number: 304-420-2400
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Mailing Address
-- JENNIFER RUTH FAZZOLARI
184 HOLIDAY HILLS DR
PARKERSBURG, WV 26104-8006
Phone number: 304-420-2400
Copy
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