Individual
CARDELIA DENISE SHANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 LAKE CLUB DR, COLUMBUS, OH 43232-3204
(614) 704-5224
(614) 515-2693
Mailing address
900 S WASHINGTON AVE APT B, COLUMBUS, OH 43206-2350
(220) 228-1386
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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