Individual
SHERANDA LETIEESE STOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1629 PINETREE WAY EAST, APT E, GREENWOOD, IN 46143
(463) 279-0310
Mailing address
1629 PINETREE WAY EAST, APT E, GREENWOOD, IN 46143
(463) 279-0310
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
IN
251S00000X
Community/Behavioral Health Agency
—
IN
385H00000X
Respite Care
Primary
—
IN
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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