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1962980953
KRISTIE N MAIBACH
MOUNT VERNON, OH
NPI
1962980953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.167809)
Enumeration Date
2018-08-01
Last Update Date
2018-08-03
Business Address
KRISTIE N MAIBACH CDCA
213 E CHESTNUT ST
MOUNT VERNON, OH 43050
Phone number: 740-326-9255
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Mailing Address
KRISTIE N MAIBACH CDCA
213 E CHESTNUT ST
MOUNT VERNON, OH 43050-3404
Phone number: 740-326-9255
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