LARRY JAMES SHAFER

SANTA MARIA, CA
NPI1174717706
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-08-27
Last Update Date2007-09-04
Business Address
Mr. LARRY JAMES SHAFER
115 E FESLER ST
SANTA MARIA, CA 93454-4404
Phone number: 805-922-6597
Mailing Address
Mr. LARRY JAMES SHAFER
316 EL CALLE JON
SANTA MARIA, CA 93454-4719
Phone number: 805-720-3774
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