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1063160620
SHANE JOHNSON
STAUNTON, VA
NPI
1063160620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904013744)
Enumeration Date
2022-03-14
Last Update Date
2022-03-14
Business Address
SHANE JOHNSON
85 SANGERS LN
STAUNTON, VA 24401-6712
Phone number: 540-213-7566
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Mailing Address
SHANE JOHNSON
85 SANGERS LN
STAUNTON, VA 24401-6712
Phone number: 540-213-7566
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