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1043991250
SHANEA R MCDANIEL
STOCKBRIDGE, GA
NPI
1043991250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN198807)
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
SHANEA R MCDANIEL RN, PMHNP-BC
552 CREEK VALLEY CT
STOCKBRIDGE, GA 30281-7901
Phone number: 803-617-9953
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Mailing Address
SHANEA R MCDANIEL RN, PMHNP-BC
PO BOX 782
STOCKBRIDGE, GA 30281-0782
Phone number: 803-295-2508
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