Individual
COLLEEN R SHAUGHENCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
600 W 3RD ST, MANSFIELD, OH 44906-2633
(419) 522-6191
Mailing address
669 MORRISON AVE, MANSFIELD, OH 44904-1531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10800151
OH
1041C0700X
Clinical Social Worker
I0800151
OH
Other
Enumeration date
08/14/2008
Last updated
07/29/2010
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