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Individual

STEPHANIE ANN SHENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6015 CRAPE MYRTLE LN, CHARLOTTE, NC 28216-1415
(704) 756-9956
(704) 940-5622
Mailing address
6015 CRAPE MYRTLE LN, CHARLOTTE, NC 28216-1415
(704) 756-9956
(704) 940-5622

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
04/24/2008
Last updated
04/24/2008
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