SHANDA LYNN TALLANT

LONDON, KY
NPI1376135590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  175102)
Enumeration Date2021-02-09
Last Update Date2022-08-30
Business Address
SHANDA LYNN TALLANT
2645 N LAUREL RD STE A
LONDON, KY 40741-9075
Phone number: 833-510-4357
Mailing Address
SHANDA LYNN TALLANT
615 ELSINORE PL
CINCINNATI, OH 45202-1459
Phone number: 833-510-4357
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