Individual
MRS. SHAUNA JANE STEPHENS-MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3500 MAPLE AVE, TERRE HAUTE, IN 47804-1732
(812) 238-6986
Mailing address
3500 MAPLE AVE, TERRE HAUTE, IN 47804-1732
(812) 238-6986
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31003892A
IN
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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