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Individual

ERICA ELIZABETH RADCLIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDCA

Contact information

Practice address
110 HIGHLAND AVE, CIRCLEVILLE, OH 43113-1208
(740) 477-1745
(740) 477-2779
Mailing address
110 HIGHLAND AVE, CIRCLEVILLE, OH 43113-1208
(740) 477-1745
(740) 477-2779

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.169272
OH
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0329969
OH
Enumeration date
10/16/2018
Last updated
05/21/2019
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