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Individual

CHERYL R HOSHOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW, LCDC-III

Contact information

Practice address
62 E STEVENS ST, NEWARK, OH 43055-5969
(740) 366-7303
(740) 366-7305
Mailing address
12219 BASIL RD NW, BALTIMORE, OH 43105-9469
(740) 438-2643

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
141274
OH
104100000X
Social Worker
Primary
S 1600672
OH

Other

Enumeration date
11/30/2016
Last updated
11/30/2016
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