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Individual

JANE S SHELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
E.D.D.

Contact information

Practice address
217 LAKE HOWARD RD, LA FAYETTE, GA 30728-6517
(706) 638-6103
(706) 638-6103
Mailing address
217 LAKE HOWARD RD, LA FAYETTE, GA 30728-6517
(706) 638-6103
(706) 638-6103

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
GA

Other

Enumeration date
12/29/2006
Last updated
07/09/2007
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