Provider Information for 1538789284
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Mrs. SHANNON DAVIS KAUFMAN
Sex: Female
NPI: 1538789284
Last Updated: 2020-04-23
Certification Date: 2020-04-23
Certification Date: 2020-04-23
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1538789284 | ||||||||||||
| Enumeration Date | 2020-04-23 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | NATIONAL YOUTH ADVOCATE PROGRAM 1020 WOODMAN DRIVE SUITE 330 DAYTON, OH 45432 United States Phone: 937-496-5464 | Fax: | ||||||||||||
| Primary Practice Address | NATIONAL YOUTH ADVOCATE PROGRAM 1020 WOODMAN DRIVE SUITE 330 DAYTON, OH 45432 United States Phone: 937-253-0606 | Fax: | ||||||||||||
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