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Individual

BRIAN JOSEPH WLODARCZYK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDCA II

Contact information

Practice address
400 E STATE ST STE D, ATHENS, OH 45701-1870
(740) 326-6110
Mailing address
272 MOORE RD, AVON LAKE, OH 44012-1285
(216) 973-8743

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
170054
OH
1041C0700X
Clinical Social Worker
Primary
S.2308774
OH

Other

Enumeration date
01/27/2020
Last updated
09/18/2024
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