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1700610060
CHAD SHEPHERD
DAYTON, OH
NPI
1700610060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OH APS005329)
Enumeration Date
2024-08-29
Last Update Date
2024-08-29
Business Address
CHAD SHEPHERD PEER SUPPORT
4977 NORTHCUTT PL
DAYTON, OH 45414-3839
Phone number: 800-829-5461
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Mailing Address
CHAD SHEPHERD PEER SUPPORT
812 N MAIN ST
MALTA, OH 43758-9019
Phone number: 740-677-5407
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