Individual
CHANDRA CELESTE PERKINS-SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 HWY V, KENNETT, MO 63857
(573) 381-1364
Mailing address
915 HWY 84, CARUTHERSVILLE, MO 63830
(573) 381-1364
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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