SHANNON RUSSELL

DAYTON, OH
NPI1790250504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OH  CDCA.165915)
Enumeration Date2018-10-08
Last Update Date2018-10-08
Business Address
SHANNON RUSSELL QMHS/CDCA
601 S EDWIN C MOSES BLVD
DAYTON, OH 45417-3424
Phone number: 937-734-8333
Mailing Address
SHANNON RUSSELL QMHS/CDCA
601 S EDWIN C MOSES BLVD
DAYTON, OH 45417-3424
Phone number: 937-734-8333
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