AMANDA A SHANNON

DAYTON, OH
NPI1063904365
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-06-01
Last Update Date2018-06-01
Business Address
AMANDA A SHANNON
2611 WAYNE AVE
DAYTON, OH 45420-1833
Phone number: 937-256-7801
Mailing Address
AMANDA A SHANNON
2611 WAYNE AVE
DAYTON, OH 45420-1833
Phone number: 937-256-7801
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