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Individual
KENNETH ALLEN MCELROY
Active
Individual
KENNETH ALLEN MCELROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
166304
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDCA.166304
OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD
OH
Enumeration date
04/13/2018
Last updated
04/13/2018
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