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1912633116
MOLLY MACKENZIE BANFIELD
DAYTON, OH
NPI
1912633116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH CDCA.181481)
Enumeration Date
2022-07-29
Last Update Date
2022-07-29
Business Address
MOLLY MACKENZIE BANFIELD CDCA
100 ELMWOOD PARK DR
DAYTON, OH 45449-5402
Phone number: 937-384-0580
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Mailing Address
MOLLY MACKENZIE BANFIELD CDCA
5530 LIBERTY BELL CIR
DAYTON, OH 45459-7913
Phone number: 513-883-9174
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