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Individual
MRS. SHAWNTA DYNISE BRENT
Active
Individual
MRS. SHAWNTA DYNISE BRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0008428
OH
104100000X
Social Worker
S23628
OH
Other
Enumeration date
01/29/2007
Last updated
11/23/2009
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