PATRICE A SHACKLE

MOUNT VERNON, OH
NPI1275027617
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2018-06-19
Last Update Date2022-07-21
Business Address
PATRICE A SHACKLE
117 W HIGH ST
MOUNT VERNON, OH 43050-2425
Phone number: 740-392-9491
Mailing Address
PATRICE A SHACKLE
1575 YAUGER RD APT 5
MOUNT VERNON, OH 43050-9085
Phone number: 740-326-1777