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Shawnte Self
NPI 1861031536 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1757 Indian Wood Cir
Maumee, OH 43537 - Phone
- (833) 440-8647
- Organisation at this address
- Midwest Detox Center Llc
Midwest Detox Center Llc
Midwest Detox Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 116
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-30
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