Individual
SHANNON MARIE BETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 N BROWNELL ST, CHILLICOTHE, OH 45601-2705
(740) 804-4111
Mailing address
23 N BROWNELL ST, CHILLICOTHE, OH 45601-2705
(740) 804-4111
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SA839506
OH
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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