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Shameka Chante Brown

Developmental Therapist in Fairview Heights, IL. Individual provider (NPI-1).

NPI number1982162848
StatusActive
Last updated in NPPESMar 8, 2019

Details

NPI
1982162848
Entity type
Individual (NPI-1)
Name
Mrs. Shameka Chante Brown
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 8, 2019
Last updated
Mar 8, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

241 Americana Cir
Fairview Heights, IL 62208-3688

Phone 618-420-2976

Mailing address

241 Americana Cir
Fairview Heights, IL 62208-3688

Phone 618-420-2976

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