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Individual
RACHAEL GARDNER PURDY
Active
Individual
RACHAEL GARDNER PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1700569
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.161772
OH
104100000X
Social Worker
S.0029691
OH
Other
Enumeration date
01/22/2018
Last updated
03/12/2020
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