Individual
DANA M. SHAWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
663 ROMULUS ST, BALTIMORE, OH 43105-1270
(937) 418-5739
Mailing address
663 ROMULUS ST, BALTIMORE, OH 43105-1270
(937) 418-5739
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057801
—
OH
Enumeration date
11/21/2020
Last updated
04/30/2025
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