Individual
BREOSHA GILBERT-SHOGELOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 W CAMP ST, LEBANON, IN 46052-1648
(765) 482-5900
Mailing address
515 W CAMP ST, LEBANON, IN 46052-1648
(765) 482-5900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33010805A
IN
Other
Enumeration date
11/28/2023
Last updated
11/29/2023
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