Shane Stevens

NPI #1104395755 in Marion, Ohio

Provider Information

NPI Number: 1104395755
Entity Type: Individual
Name: Shane Stevens
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Nov 13, 2018
Last Updated: Nov 13, 2018

Practice Location

Address: 320 EXECUTIVE DR
City: Marion
State: Ohio
ZIP Code: 43302-6373
Phone: (740) 387-5210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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