GILLYAN BACCUS

DAYTON, OH
NPI1891343885
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.169595)
Enumeration Date2019-09-03
Last Update Date2019-09-03
Business Address
GILLYAN BACCUS
4124 LINDEN AVE
DAYTON, OH 45432-3018
Phone number: 937-522-0961
Mailing Address
GILLYAN BACCUS
4309 PIMLICO PL
HUBER HEIGHTS, OH 45424-3883
Phone number:
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