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Individual
SHAWNTA MONIQUE DAVIDSON
Active
Individual
SHAWNTA MONIQUE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.196140
OH
164W00000X
Licensed Practical Nurse
Primary
LPN.135217.MEDS-IV
OH
Other
Enumeration date
03/04/2018
Last updated
09/01/2026
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