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1487165858
SHANNON NOEL ELLIS
SOUTH POINT, OH
NPI
1487165858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 131085)
Enumeration Date
2017-10-12
Last Update Date
2017-10-12
Business Address
SHANNON NOEL ELLIS
48 PRIVATE DRIVE 339
SOUTH POINT, OH 45680-8919
Phone number: 740-451-1455
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Mailing Address
SHANNON NOEL ELLIS
48 PRIVATE DRIVE 339
SOUTH POINT, OH 45680-8919
Phone number:
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