Easter Kelley, Shannon
Easter Kelley, Shannon is an individual health care provider with primary practice located at 38882 Mentor Ave , Willoughby OH 44094. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Easter Kelley, Shannon can be contacted via phone (440) 953-9999.Contact Information
Primary practice address
38882 Mentor Ave
Willoughby OH 44094
Phone: (440) 953-9999
Fax: (440) 918-3839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1871806968 |
|---|---|
| LBN Legal business name | Easter Kelley, Shannon |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2010 |
| Last updated | Jun 4th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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