SHAWN RANDALL PRENTICE

PIKETON, OH
NPI1043796980
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-07-13
Last Update Date2018-07-13
Business Address
SHAWN RANDALL PRENTICE
15221 STATE ROUTE 772
PIKETON, OH 45661-9062
Phone number: 937-213-0416
Mailing Address
SHAWN RANDALL PRENTICE
1553 7TH ST
PORTSMOUTH, OH 45662-4518
Phone number: 937-213-0416
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