Individual
MS. SHANE GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
56 HAMILTON BLVD NW, CARTERSVILLE, GA 30120-7798
(907) 371-6110
Mailing address
56 HAMILTON BLVD NW, CARTERSVILLE, GA 30120-7798
(907) 371-6110
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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