Individual
ALEXIS N. SHASTEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NON-BA, CPST
Contact information
Practice address
919 2ND ST NE, CANTON, OH 44704-1132
(330) 454-7917
(330) 452-8860
Mailing address
919 2ND ST NE, CANTON, OH 44704-1132
(330) 454-7917
(330) 452-8860
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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