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1013605682
STEVEN SHANE PERNELL
PORTSMOUTH, OH
NPI
1013605682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH cdca.184330)
Enumeration Date
2023-05-01
Last Update Date
2023-05-01
Business Address
STEVEN SHANE PERNELL
1616 GRANT ST
PORTSMOUTH, OH 45662-3663
Phone number: 740-901-0416
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Mailing Address
STEVEN SHANE PERNELL
1616 GRANT ST
PORTSMOUTH, OH 45662-3663
Phone number: 740-901-0416
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