Search › Ohio › 1041C0700X
Shawna Park, LISW-S, LCDC III
NPI 1679822084 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2327 Gavinley Way
Columbus, OH 43220 - Phone
- (216) 299-1517
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-01-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio