JOHNNY SHAW

COLUMBUS, OH
NPI1194310318
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MS  CDCA.175616)
Enumeration Date2021-03-09
Last Update Date2021-03-09
Business Address
Mr. JOHNNY SHAW
1547 W BROAD ST
COLUMBUS, OH 43222-1043
Phone number: 614-352-2620
Mailing Address
Mr. JOHNNY SHAW
1547 W BROAD ST
COLUMBUS, OH 43222-1043
Phone number: 614-352-2620
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