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1093865818
STACY SLOAN SHOUP
MANSFIELD, OH
NPI
1093865818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 975906)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
-- STACY SLOAN SHOUP CCDC1
270 STERKEL BLVD
MANSFIELD, OH 44907-1508
Phone number: 419-526-6168
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Mailing Address
-- STACY SLOAN SHOUP CCDC1
1329 BELLVIEW DR
MANSFIELD, OH 44905-1615
Phone number: 419-589-9780
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