SHANNON SPARKS

XENIA, OH
NPI1255092102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   CDCA.178872)
Enumeration Date2022-01-04
Last Update Date2022-01-04
Business Address
SHANNON SPARKS
36 N DETROIT ST
XENIA, OH 45385-2909
Phone number: 937-610-4673
Mailing Address
SHANNON SPARKS
3103 DIXIE HWY
HAMILTON, OH 45015-1653
Phone number: 513-892-4673
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