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Individual
SHANNA R OWENSBY
Active
Individual
SHANNA R OWENSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2102585
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I.2102585
LISW
OH
Enumeration date
05/05/2021
Last updated
05/05/2021
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