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1053039461
SHANE MATTHEW WITZKI
LIBERTY, MO
NPI
1053039461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2020024396)
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
SHANE MATTHEW WITZKI
110 WESTWOODS DR
LIBERTY, MO 64068-1181
Phone number: 816-368-1889
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Mailing Address
SHANE MATTHEW WITZKI
1809 SHANNON DR
LIBERTY, MO 64068-2892
Phone number: 816-547-2968
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