Individual
MARIA SUZANNE SHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HALLORAN LN, SAINT CLAIRSVILLE, OH 43950
(740) 296-5743
Mailing address
50171 FAIRPOINT MAYNARD RD, SAINT CLAIRSVILLE, OH 43950-8353
(740) 317-9784
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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