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1912780784
SAMANTHA M MOORE
NORWALK, OH
NPI
1912780784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.183464)
Enumeration Date
2023-08-16
Last Update Date
2023-08-16
Business Address
SAMANTHA M MOORE
130 SHADY LANE DR
NORWALK, OH 44857-2710
Phone number: 567-743-7199
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Mailing Address
SAMANTHA M MOORE
6216 DEYO RD
CASTALIA, OH 44824-9762
Phone number:
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