STACIE R DANE

ATHENS, OH
NPI1922500636
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  162508)
Enumeration Date2018-03-08
Last Update Date2018-06-16
Business Address
STACIE R DANE CDCA
9908 BASSETT RD
ATHENS, OH 45701-3684
Phone number: 740-594-8108
Mailing Address
STACIE R DANE CDCA
224 COLUMBUS RD
ATHENS, OH 45701-1334
Phone number: 740-592-6724
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