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1932697141
JACQUELINE NICHOLE BENNETT
WASHINGTON COURT HOUSE, OH
NPI
1932697141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.164571)
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
JACQUELINE NICHOLE BENNETT
780 GREGG ST
WASHINGTON COURT HOUSE, OH 43160-1564
Phone number: 740-313-7513
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Mailing Address
JACQUELINE NICHOLE BENNETT
110 HIGHLAND AVE
CIRCLEVILLE, OH 43113-1208
Phone number: 740-477-1745
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