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1922360502
SHANNON DAWN RICCA
LEBANON, OH
NPI
1922360502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 110672)
Enumeration Date
2012-06-11
Last Update Date
2012-06-11
Business Address
-- SHANNON DAWN RICCA CDCA
975 KINGSVIEW DR
LEBANON, OH 45036-9562
Phone number: 513-228-7800
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Mailing Address
-- SHANNON DAWN RICCA CDCA
975 KINGSVIEW DR SUITE 400
LEBANON, OH 45036-9562
Phone number: 513-228-7800
Copy
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