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Individual
SHAUNNA EDWARDS
Active
Individual
SHAUNNA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.164256
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.161794
OH
Other
Enumeration date
11/20/2017
Last updated
11/12/2020
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