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1306334347
SHANAY D NEWSOM
SPRINGFIELD, OH
NPI
1306334347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 163625)
Enumeration Date
2018-04-25
Last Update Date
2018-04-25
Business Address
SHANAY D NEWSOM cdca
1200 E HOME RD
SPRINGFIELD, OH 45503-2728
Phone number: 937-522-0962
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Mailing Address
SHANAY D NEWSOM cdca
1200 E HOME RD
SPRINGFIELD, OH 45503-2728
Phone number: 937-522-0962
Copy
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