Individual
SHASHONNA DUCKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27691 EUCLID AVE STE B101, EUCLID, OH 44132-3550
(216) 233-4574
Mailing address
PO BOX 32484, EUCLID, OH 44132-0484
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
OH
251S00000X
Community/Behavioral Health Agency
Primary
—
OH
324500000X
Substance Abuse Rehabilitation Facility
—
OH
Other
Enumeration date
01/07/2026
Last updated
01/26/2026
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