Individual
MS. SHANTAE WOFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 WABASH ST, MICHIGAN CITY, IN 46360-4221
(219) 488-4897
Mailing address
1303 WABASH ST, MICHIGAN CITY, IN 46360-4221
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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