Individual
SHANNA SHUSHEREBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1724 N GILPIN ST, DENVER, CO 80218-1206
(720) 461-8451
(303) 237-6873
Mailing address
1724 N GILPIN ST, DENVER, CO 80218-1206
(720) 461-8451
(303) 237-6873
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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