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1699293985
SHANE FERRELL
FORT STEWART, GA
NPI
1699293985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810006219)
Enumeration Date
2017-09-06
Last Update Date
2024-01-19
Business Address
SHANE FERRELL
1061 HARMON AVE BLDG 302
FORT STEWART, GA 31314-5641
Phone number: 912-435-5799
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Mailing Address
SHANE FERRELL
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-6965
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