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1912410010
LISA WILEY
PORTSMOUTH, OH
NPI
1912410010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 100420)
Enumeration Date
2017-11-10
Last Update Date
2017-11-10
Business Address
LISA WILEY CDCA
411 COURT ST
PORTSMOUTH, OH 45662-3932
Phone number: 740-354-6685
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Mailing Address
LISA WILEY CDCA
923 FINDLAY ST
PORTSMOUTH, OH 45662-4148
Phone number:
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