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1205569175
SHA'KIRA GARY-LONG
DAYTON, OH
NPI
1205569175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA189382)
Enumeration Date
2022-07-07
Last Update Date
2024-12-10
Business Address
SHA'KIRA GARY-LONG CDCA
4977 NORTHCUTT PL
DAYTON, OH 45414-3839
Phone number: 800-829-5461
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Mailing Address
SHA'KIRA GARY-LONG CDCA
5444 PAYNE AVE
DAYTON, OH 45414-3364
Phone number:
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