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1356692792
SHANE ANDREW KAVANAUGH
AMES, IA
NPI
1356692792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 001560)
Enumeration Date
2012-09-25
Last Update Date
2015-03-13
Business Address
-- SHANE ANDREW KAVANAUGH M.S., LMHC
125 S 3RD ST
AMES, IA 50010-7042
Phone number: 515-661-4210
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Mailing Address
-- SHANE ANDREW KAVANAUGH M.S., LMHC
125 S 3RD ST
AMES, IA 50010-7042
Phone number: 515-661-4210
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