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Individual

SHANAY KIERRA HAWKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11401 LORAIN AVE, CLEVELAND, OH 44111-5428
(216) 307-7687
(216) 432-7258
Mailing address
20080 SEMINOLE RD, EUCLID, OH 44117-2312
(216) 832-4374

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
OH

Other

Enumeration date
12/10/2025
Last updated
12/10/2025
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