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1497595631
DANIEL CHARLES SHUMWAY
MERIDIAN, ID
NPI
1497595631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID COUI-10519)
Enumeration Date
2024-05-27
Last Update Date
2024-05-27
Business Address
DANIEL CHARLES SHUMWAY
1548 W CAYUSE CREEK DR STE 100
MERIDIAN, ID 83646-4795
Phone number: 208-203-0899
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Mailing Address
DANIEL CHARLES SHUMWAY
72 N PLEASANT HILL DR
NAMPA, ID 83651-5025
Phone number:
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