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1023442803
SHAWN MICHAEL PEPPLES
BINGHAMTON, NY
NPI
1023442803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-08-28
Last Update Date
2013-08-28
Business Address
-- SHAWN MICHAEL PEPPLES CASAC-T
10 MITCHELL AVENUE
BINGHAMTON, NY 13903
Phone number: 607-762-2109
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Mailing Address
-- SHAWN MICHAEL PEPPLES CASAC-T
346 GRAND AVE
JOHNSON CITY, NY 13790-2580
Phone number: 607-762-2109
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