DUSTIN H SHORTER

WAVERLY, OH
NPI1285146548
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.165070)
Enumeration Date2017-10-26
Last Update Date2017-10-26
Business Address
DUSTIN H SHORTER
14574 US RT 23
WAVERLY, OH 45690
Phone number: 740-912-9126
Mailing Address
DUSTIN H SHORTER
14574 US RT 23
WAVERLY, OH 45690
Phone number: 740-703-9095
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