ANTWON SHANK-LANE

DAYTON, OH
NPI1952142614
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-06-05
Last Update Date2024-06-05
Business Address
ANTWON SHANK-LANE
1715 SPRINGFIELD ST STE 8B
DAYTON, OH 45403-1431
Phone number: 937-274-8854
Mailing Address
ANTWON SHANK-LANE
1715 SPRINGFIELD ST STE 8B
DAYTON, OH 45403-1431
Phone number: 937-274-8854
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