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1902391311
JOSHUA K. PORTWOOD
REYNOLDSBURG, OH
NPI
1902391311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-06-27
Last Update Date
2018-06-27
Business Address
Mr. JOSHUA K. PORTWOOD CDCA
1900 BRICE RD.
REYNOLDSBURG, OH 43068
Phone number: 614-239-9965
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Mailing Address
Mr. JOSHUA K. PORTWOOD CDCA
7516 WOODLAND TRACE DR
REYNOLDSBURG, OH 43068-5226
Phone number: 614-600-0146
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