Individual
SHANTAVIA HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
442 S 2ND ST, HAMILTON, OH 45011-2936
(513) 868-4980
Mailing address
820 S MARTIN LUTHER KING JR BLVD, HAMILTON, OH 45011-3216
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDCA.164632
OH
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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