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1043704224
SHANE HAMPTON
UNIVERSITY PLACE, WA
NPI
1043704224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-06-20
Last Update Date
2018-12-18
Business Address
SHANE HAMPTON
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA 98466-3834
Phone number: 253-302-2407
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Mailing Address
SHANE HAMPTON
5410 N 44TH ST
TACOMA, WA 98407-3715
Phone number:
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