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1437409620
SHANICE RENEE STEWART
CLARKSVILLE, TN
NPI
1437409620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2012-09-14
Last Update Date
2012-09-14
Business Address
Mrs. SHANICE RENEE STEWART
3369 DURRETT DR APT. 73
CLARKSVILLE, TN 37042-8630
Phone number: 434-378-6181
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Mailing Address
Mrs. SHANICE RENEE STEWART
3369 DURRETT DR APT. 73
CLARKSVILLE, TN 37042-8630
Phone number: 434-378-6181
Copy
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