Provider Information for 1922147677
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JOSEPHINE SHELTON-TOWNES LISW,SAP
Sex: Female
NPI: 1922147677
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
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NPI | 1922147677 | ||||||||
Enumeration Date | 2007-02-06 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 23306 FERNWOOD DR BEACHWOOD, OH 44122-1514 United States Phone: 216-831-2011 | Fax:216-831-2011 | ||||||||
Primary Practice Address | 20620 N PARK BLVD SUITE 201 SHAKER HEIGHTS, OH 44118-4519 United States Phone: 216-374-7836 | Fax:216-831-2011 | ||||||||
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