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1124364229
CORY IAN SHAFER
KINGSTON, PA
NPI
1124364229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: PA PC005347)
Enumeration Date
2012-12-17
Last Update Date
2015-12-23
Business Address
Mr. CORY IAN SHAFER LPC
675 WYOMING AVE
KINGSTON, PA 18704-3831
Phone number: 570-332-2093
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Mailing Address
Mr. CORY IAN SHAFER LPC
102 N WELLES AVE
KINGSTON, PA 18704-5142
Phone number: 570-905-4738
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