SHANE MICHAEL DUTY

MERIDIAN, ID
NPI1295454544
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor Professional
(Licence: ID  LPC-5998)
Enumeration Date2022-08-22
Last Update Date2022-08-22
Business Address
SHANE MICHAEL DUTY LPC
1225 W BACALL ST
MERIDIAN, ID 83646-6388
Phone number: 208-407-8014
Mailing Address
SHANE MICHAEL DUTY LPC
1225 W BACALL ST
MERIDIAN, ID 83646-6388
Phone number: 208-407-8014
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