Individual
SHAVON DUFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 ORANGE ST, WINNSBORO, TX 75494-2506
(903) 975-4354
Mailing address
112 ORANGE ST, WINNSBORO, TX 75494-2506
(903) 975-4346
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
752951102
TX
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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