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Organization

IMPACT THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LAMARR J NORWOOD LICDC-CS (CEO)
(567) 288-6769
Entity
Organization

Contact information

Practice address
3450 W CENTRAL AVE STE 354, TOLEDO, OH 43606-1418
(567) 288-6769
Mailing address
3450 W CENTRAL AVE STE 354, TOLEDO, OH 43606-1418
(567) 288-6769

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
933549
OH

Other

Enumeration date
12/04/2013
Last updated
01/09/2020
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