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1902357973
JACQUELYN LAVENDER
COLUMBUS, OH
NPI
1902357973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LCDCIII.162533)
Enumeration Date
2016-10-14
Last Update Date
2024-07-09
Business Address
JACQUELYN LAVENDER LCDC III
1455 S 4TH ST
COLUMBUS, OH 43207-1011
Phone number: 614-444-0800
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Mailing Address
JACQUELYN LAVENDER LCDC III
1455 S 4TH ST
COLUMBUS, OH 43207-1011
Phone number: 614-444-0800
Copy
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