Individual
SHANTAY BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6431 RIVERBEND DR, DAYTON, OH 45415-2675
(391) 626-4686
Mailing address
6431 RIVERBEND DR, DAYTON, OH 45415-2675
(937) 626-4686
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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