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Individual
JOHN LAWRENCE CHURCHWARD SR.
Active
Individual
JOHN LAWRENCE CHURCHWARD SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60437986
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
12/17/2018
Last updated
09/27/2019
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