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Individual
SIMON R. WOLIVER
Active
Individual
SIMON R. WOLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC-S, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.141209
OH
101YP2500X
Professional Counselor
Primary
E.1300025-SUPV
OH
Other
Enumeration date
08/18/2017
Last updated
03/17/2018
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