SHANNON NICOLE SULLLIVAN

XENIA, OH
NPI1063181006
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-09-13
Last Update Date2021-09-13
Business Address
SHANNON NICOLE SULLLIVAN CDCA
515 MARTIN DR
XENIA, OH 45385-1615
Phone number: 937-562-2400
Mailing Address
SHANNON NICOLE SULLLIVAN CDCA
515 MARTIN DR
XENIA, OH 45385-1615
Phone number: 937-562-2400
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