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1598443020
SHANE PATRICK
KIRKLAND, WA
NPI
1598443020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-07-06
Last Update Date
2023-07-06
Business Address
SHANE PATRICK MA, D.Min, Th.M, MS
13128 TOTEM LAKE BLVD NE
KIRKLAND, WA 98034-2953
Phone number: 425-202-7748
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Mailing Address
SHANE PATRICK MA, D.Min, Th.M, MS
20402 63RD AVE NE
KENMORE, WA 98028-8630
Phone number: 210-995-1099
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