Individual
SHAWANDA DAMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21420 WESTPORT AVE LOWR, EUCLID, OH 44123-2868
(216) 647-5706
Mailing address
21420 WESTPORT AVE LOWR, EUCLID, OH 44123-2868
(216) 647-5706
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
12/02/2022
Last updated
03/28/2023
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