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1720730856
SHANE WILLIAMS
MEDFORD, OR
NPI
1720730856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: professionallicense)
Enumeration Date
2022-01-20
Last Update Date
2024-06-24
Business Address
SHANE WILLIAMS
3200 JUANIPERO WAY
MEDFORD, OR 97504-8580
Phone number: 541-816-4131
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Mailing Address
SHANE WILLIAMS
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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