Shanice Monique Sample
NPI #1245074681 in Springfield, Ohio
Provider Information
- NPI Number
- 1245074681
- Entity Type
- Individual
- Name
- Shanice Monique Sample
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 20, 2024
- Last Updated
- Jun 20, 2024
Practice Location
- Address
- 628 W LIBERTY ST
- City
- Springfield
- State
- Ohio
- ZIP Code
- 45506-2026
- Phone
- (567) 804-3293
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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