Individual
SHANNON MICHELLE COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4621 HUNT PL NE, WASHINGTON, DC 20019-3619
(202) 399-7604
Mailing address
4621 HUNT PL NE, WASHINGTON, DC 20019-3619
(202) 399-7604
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
10/16/2017
Last updated
08/20/2024
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