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Individual
SHANNON E FRAME
Active
Individual
SHANNON E FRAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101187
OH
104100000X
Social Worker
Primary
I.1101044
OH
1041C0700X
Clinical Social Worker
S.0900762
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0202831
—
OH
Enumeration date
01/30/2017
Last updated
02/18/2020
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