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Individual

SHANNON MULICHAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1480 BARBIE DR, BOARDMAN, OH 44512-3732
(330) 402-9342
Mailing address
1480 BARBIE DR, BOARDMAN, OH 44512-3732

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.005179
OH

Other

Enumeration date
02/06/2014
Last updated
02/06/2014
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