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Individual

AMBER L SHENEFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
76 WHITE AVE, NEW LONDON, OH 44851-1135
(419) 217-2635
Mailing address
76 WHITE AVE, NEW LONDON, OH 44851-1135

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0471757
OH
Enumeration date
07/12/2023
Last updated
07/12/2023
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