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Individual
MR. JOLIET REDMOND
Active
Individual
MR. JOLIET REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-S
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.141138
OH
1041C0700X
Clinical Social Worker
Primary
I.1600607
OH
Other
Enumeration date
03/12/2014
Last updated
03/12/2018
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