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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | SHANNON BURGESS · Shannon Proctor Burgess | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | Provider ID: 0279812 | [sources] | |||
| First name | Shannon | [sources] | |||
| Last name | BURGESS · Proctor Burgess | [sources] | |||
| NPI | 1205324928 | [sources] | |||
| Sector | 37 - Social Work | [sources] | |||
| Position | SOCIAL WORKER (IND- LIC HC SERV PRO) | [sources] | |||
| Address | 3293 KILDARE RD, CLEVELAND, OH 44118 | [sources] | |||
| Last change | Last processed | First seen | |||
People and companies excluded from Federally funded health care programs
United States · OIG
Medical providers excluded or suspended from Ohio's Medicaid program.
United States · ODM
us-fed-excl-shannon-burgess-44118-cleveland · us-medoh-f4a2e10d1f95d983f094f715dfcfbc071f99bf14For experts: raw data explorer
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| United States | Ohio Department of Medicaid | - | - |