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1346861697
SHANE PATRICK LIGHTLE
MILTON, WV
NPI
1346861697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2020-04-28
Last Update Date
2020-04-28
Business Address
SHANE PATRICK LIGHTLE
1249 MEADOW LN
MILTON, WV 25541-8577
Phone number: 304-840-8686
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Mailing Address
SHANE PATRICK LIGHTLE
1596 WASHINTON BLVD
HUNTINGTON, WV 25701
Phone number:
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