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Individual
SHANIA LEWIS
Active
Individual
SHANIA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1544761
—
LA
01
—
1679507412
NON MEDICARE
LA
Enumeration date
06/02/2021
Last updated
06/18/2021
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