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Individual

MARESSA SHORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1905 TOWNSHIP ROAD 156, CHESAPEAKE, OH 45619-8903
(606) 694-4804
Mailing address
1905 TOWNSHIP ROAD 156, CHESAPEAKE, OH 45619-8903
(606) 694-4804

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
01/09/2025
Last updated
01/09/2025
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