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1164721155
KENDRA ANN SHOUP
ELYRIA, OH
NPI
1164721155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH C.0900277-CR)
Enumeration Date
2011-03-16
Last Update Date
2011-03-16
Business Address
-- KENDRA ANN SHOUP
347 MIDWAY BLVD
ELYRIA, OH 44035-9006
Phone number: 440-324-5701
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Mailing Address
-- KENDRA ANN SHOUP
18645 DETROIT AVE APT 621
LAKEWOOD, OH 44107-3276
Phone number:
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