Derrion Shannon

NPI #1215702568 in Elyria, Ohio

Provider Information

NPI Number: 1215702568
Entity Type: Individual
Name: Derrion Shannon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Nov 16, 2023
Last Updated: Nov 16, 2023

Practice Location

Address: 123 TAFT AVE
City: Elyria
State: Ohio
ZIP Code: 44035-3545
Phone: (440) 444-5357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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