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1053885939
NICHOLAS SHEPHERD
COLUMBUS, OH
NPI
1053885939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 162159)
Enumeration Date
2019-01-14
Last Update Date
2021-05-24
Business Address
NICHOLAS SHEPHERD LCDC III
4998 W BROAD ST STE 104
COLUMBUS, OH 43228-1647
Phone number: 614-754-8051
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Mailing Address
NICHOLAS SHEPHERD LCDC III
4998 W BROAD ST STE 104
COLUMBUS, OH 43228-1647
Phone number: 614-754-8051
Copy
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