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Individual

MS. D. MONIQUE SHANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, CMS

Contact information

Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 861-3100
Mailing address
4338 PLAINVILLE RD, CINCINNATI, OH 45227-3253
(513) 561-7474

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6556
TN

Other

Enumeration date
09/14/2006
Last updated
07/08/2007
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