SHAWN LONG

IRONTON, OH
NPI1619570173
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.174773)
Enumeration Date2020-11-18
Last Update Date2020-11-18
Business Address
SHAWN LONG
1724 S 3RD ST
IRONTON, OH 45638-2269
Phone number: 740-479-5135
Mailing Address
SHAWN LONG
618 HOLCOMB ST APT 7
GRAYSON, KY 41143-1258
Phone number:
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