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1346556180
DOUGLAS DEAN SHUPE
COOS BAY, OR
NPI
1346556180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-08-30
Last Update Date
2020-04-30
Business Address
DOUGLAS DEAN SHUPE MS, LPC Intern
281 LACLAIR ST
COOS BAY, OR 97420-2988
Phone number: 541-266-6782
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Mailing Address
DOUGLAS DEAN SHUPE MS, LPC Intern
281 LACLAIR ST
COOS BAY, OR 97420-2988
Phone number: 541-266-6782
Copy
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