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1891262291
BRANDEN JOSEPH GLASS
SHELBY, OH
NPI
1891262291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.168237)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
BRANDEN JOSEPH GLASS
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 419-747-3322
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Mailing Address
BRANDEN JOSEPH GLASS
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 419-747-3322
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