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Individual
SHANNAN L LEE
Active
Individual
SHANNAN L LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INDEPENDENT PROVIDER
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
0906797
OH
376J00000X
Homemaker
—
OH
385H00000X
Respite Care
—
OH
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0387419
—
OH
Enumeration date
11/19/2020
Last updated
01/18/2024
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