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Individual

JEMIMA N/A SHUTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1826 CREEKVIEW DR, MARYSVILLE, OH 43040-9028
(806) 340-5767
Mailing address
1826 CREEKVIEW DR, MARYSVILLE, OH 43040-9028
(806) 340-5767

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
05/31/2023
Last updated
11/12/2024
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