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1760939896
TISHA SHEPHERD
GREENVILLE, OH
NPI
1760939896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH CDCA.160820)
Enumeration Date
2016-09-07
Last Update Date
2016-09-07
Business Address
TISHA SHEPHERD
600 WALNUT ST.
GREENVILLE, OH 45331
Phone number: 937-335-0361
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Mailing Address
TISHA SHEPHERD
719 E 3RD ST
GREENVILLE, OH 45331
Phone number: 937-467-8055
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