KENNETH JAMES SHIVERDECKER

CINCINNATI, OH
NPI1629715248
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.178622)
Enumeration Date2022-05-16
Last Update Date2022-05-16
Business Address
KENNETH JAMES SHIVERDECKER CDCA
3009 BURNET AVE
CINCINNATI, OH 45219-2419
Phone number: 513-872-8880
Mailing Address
KENNETH JAMES SHIVERDECKER CDCA
2600 VICTORY PKWY
CINCINNATI, OH 45206-1395
Phone number: 513-751-7747
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