NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1164794160
SHAWNEE MENTAL HEALTH CENTER, INC.
901 WASHINGTON ST
PORTSMOUTH
OH
456623944
1013594332
KELLEY
KAYLA
JEAN
2015 WOODLAND AVE
ASHLAND
KY
411013744
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