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Organization
SHINE HEALTHCARE GROUP LLC
Active
Organization
SHINE HEALTHCARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMIN L BOOKER (CHIEF OPERATING OFFICER)
(404) 491-7716
Entity
Organization
Contact information
Practice address
2 LOGAN SQ STE 300, PHILADELPHIA, PA 19103-2733
(470) 870-2404
Mailing address
3631 CHAMBLEE TUCKER RD STE A288, ATLANTA, GA 30341-4415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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