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Individual

SHANIQUIA SHARDAY COOK

Active
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Individual

SHANIQUIA SHARDAY COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
171M00000X
Case Manager/Care Coordinator
Primary
171W00000X
Contractor
251B00000X
Case Management Agency
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
374U00000X
Home Health Aide

Other

Enumeration date
05/08/2024
Last updated
10/21/2024
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