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Individual

COURTNEY SHANER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4701 E MARGARET DR, TERRE HAUTE, IN 47803-9303
(317) 334-7331
Mailing address
1824 TOUBY PIKE STE B, KOKOMO, IN 46901-2573
(765) 628-7400
(855) 940-0177

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/22/2022
Last updated
12/22/2022
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