ADAM SHANE

DAYTON, OH
NPI1114428596
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OH  C.1700654-TRNE)
Enumeration Date2018-02-22
Last Update Date2018-02-22
Business Address
ADAM SHANE
6300 N MAIN ST
DAYTON, OH 45415-3154
Phone number: 937-275-1500
Mailing Address
ADAM SHANE
43 COUNTRY MANOR LN
DAYTON, OH 45458-2320
Phone number:
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