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1972200111
KENNETH THOMAS
COLUMBUS, OH
NPI
1972200111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.183468)
Enumeration Date
2023-02-08
Last Update Date
2023-02-08
Business Address
Mr. KENNETH THOMAS
6161 BUSCH BLVD STE 290
COLUMBUS, OH 43229-2587
Phone number: 614-987-5003
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Mailing Address
Mr. KENNETH THOMAS
4229 E BROAD ST APT 5
WHITEHALL, OH 43213-1229
Phone number: 614-264-1530
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