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1972092724
KIMBERLEIGH J RUSSO
HAMILTON, OH
NPI
1972092724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 164326)
Enumeration Date
2018-05-08
Last Update Date
2018-05-08
Business Address
KIMBERLEIGH J RUSSO CDCA
621 S ERIE HWY
HAMILTON, OH 45011-4315
Phone number: 513-795-7557
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Mailing Address
KIMBERLEIGH J RUSSO CDCA
621 S ERIE HWY
HAMILTON, OH 45011-4315
Phone number: 513-299-4025
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