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1184434557
JORDAN REBECCA SHAVERS
FAIRBORN, OH
NPI
1184434557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 188587)
Enumeration Date
2025-01-08
Last Update Date
2025-01-08
Business Address
JORDAN REBECCA SHAVERS BA, CDCA
119 E DAYTON YELLOW SPRINGS RD
FAIRBORN, OH 45324-3446
Phone number: 937-405-1743
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Mailing Address
JORDAN REBECCA SHAVERS BA, CDCA
119 E DAYTON YELLOW SPRINGS RD
FAIRBORN, OH 45324-3446
Phone number: 937-405-1743
Copy
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