JEFFREY SHOUP

DAYTON, OH
NPI1932742665
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-10-25
Last Update Date2019-10-25
Business Address
JEFFREY SHOUP
1 ELIZABETH PL STE NWB40
DAYTON, OH 45417-3445
Phone number: 937-401-8672
Mailing Address
JEFFREY SHOUP
1 ELIZABETH PL STE NWB40
DAYTON, OH 45417-3445
Phone number: 937-401-8672
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