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1619330743
SUSAN LOUISE SHANKS
CINCINNATI, OH
NPI
1619330743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 140533)
Enumeration Date
2016-04-05
Last Update Date
2016-04-05
Business Address
-- SUSAN LOUISE SHANKS CDCA
311 MARTIN LUTHER KING DR E
CINCINNATI, OH 45219-2581
Phone number: 513-475-5322
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Mailing Address
-- SUSAN LOUISE SHANKS CDCA
311 MARTIN LUTHER KING DR E
CINCINNATI, OH 45219-2581
Phone number: 513-475-5322
Copy
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