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1942888607
WADE S MARTIN
CHESAPEAKE, OH
NPI
1942888607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.176299)
Enumeration Date
2021-04-01
Last Update Date
2021-04-01
Business Address
WADE S MARTIN CDCA
103 2ND AVE
CHESAPEAKE, OH 45619-1134
Phone number: 740-451-1116
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Mailing Address
WADE S MARTIN CDCA
103 2ND AVE
CHESAPEAKE, OH 45619-1134
Phone number: 740-451-1116
Copy
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