Individual
SHA'NEIKA SHAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E 3RD ST, ATLANTA, TX 75551-1635
(903) 799-7790
Mailing address
PO BOX 670, ATLANTA, TX 75551-0670
(903) 799-7790
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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