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1376329672
SHAKIA PORTER
XENIA, OH
NPI
1376329672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.185042)
Enumeration Date
2023-09-04
Last Update Date
2023-09-04
Business Address
SHAKIA PORTER
515 MARTIN DR
XENIA, OH 45385-1615
Phone number: 937-562-2400
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Mailing Address
SHAKIA PORTER
210 E MAIN ST
FAIRBORN, OH 45324-4706
Phone number:
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