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Misty Dawn Shope, QMHS

Case Manager/Care Coordinator in Ironton, OH. Individual provider (NPI-1).

NPI number1760968366
StatusActive
Last updated in NPPESJul 17, 2018

Details

NPI
1760968366
Entity type
Individual (NPI-1)
Name
Misty Dawn Shope
Credential
QMHS
Sex
Female
Sole proprietor
No
Enumeration date
Jul 17, 2018
Last updated
Jul 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

424 Lawrence St
Ironton, OH 45638-1474

Phone 740-533-0055 · Fax 740-533-1511

Mailing address

Po Box 327
Ironton, OH 45638-0327

Phone 740-533-0055 · Fax 740-533-1511

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