SHANICE MARIE SOUTHERN

COLUMBUS, OH
NPI1447007554
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA-183601)
Enumeration Date2024-05-06
Last Update Date2024-05-06
Business Address
SHANICE MARIE SOUTHERN CDCA,CHW
1791 ALUM CREEK DR
COLUMBUS, OH 43207-1708
Phone number: 614-324-5466
Mailing Address
SHANICE MARIE SOUTHERN CDCA,CHW
7842 WORTHINGTON TRACE LN
COLUMBUS, OH 43085-5510
Phone number: 614-893-6270
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