Most Relevant Information
Provider Data
| NPI Number: | 1003555087 |
| Provider Name: | SHANNON WARD |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/31/2022 |
| Last Updated: | 05/31/2022 |
Provider Practice Location
905 NEBRASKA AVE
TOLEDO
OH
436074222
Practice Location Phone/Fax
| Phone: | 4198417701 |
| Fax: |
Provider Mailing Location
905 NEBRASKA AVE
TOLEDO
OH
436074222
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |