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1922644566
JACKIE GREENE
IRONTON, OH
NPI
1922644566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH C.1902062-TRNE)
Enumeration Date
2019-11-19
Last Update Date
2019-12-02
Business Address
JACKIE GREENE CT
700 PARK AVE
IRONTON, OH 45638-1502
Phone number: 740-532-1613
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Mailing Address
JACKIE GREENE CT
PO BOX 108
IRONTON, OH 45638-0108
Phone number:
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