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1063904365
AMANDA A SHANNON
DAYTON, OH
NPI
1063904365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-06-01
Last Update Date
2018-06-01
Business Address
AMANDA A SHANNON
2611 WAYNE AVE
DAYTON, OH 45420-1833
Phone number: 937-256-7801
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Mailing Address
AMANDA A SHANNON
2611 WAYNE AVE
DAYTON, OH 45420-1833
Phone number: 937-256-7801
Copy
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