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Individual
SHEDRIKA ATWOOD
Active
Individual
SHEDRIKA ATWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
MO
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
6207-11776
MO
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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