PETER SHANE KIDNOCKER

PORTSMOUTH, OH
NPI1376141564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-10-12
Last Update Date2020-10-12
Business Address
Mr. PETER SHANE KIDNOCKER CDCA
519 COURT ST
PORTSMOUTH, OH 45662-3933
Phone number: 740-876-4370
Mailing Address
Mr. PETER SHANE KIDNOCKER CDCA
519 COURT ST
PORTSMOUTH, OH 45662-3933
Phone number: 740-876-4370
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