Individual
MS. SHANNEL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5631 VIEWPOINTE DR APT G, CINCINNATI, OH 45213-2649
(567) 249-7797
Mailing address
PO BOX 36522, CINCINNATI, OH 45236-0522
(567) 249-7797
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
12/07/2013
Last updated
12/07/2013
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