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1730576760
SHANE LONGMIRE
WALLA WALLA, WA
NPI
1730576760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH60751816)
Enumeration Date
2015-04-16
Last Update Date
2017-05-05
Business Address
-- SHANE LONGMIRE LMHC
1520 KELLY PL COMPREHENSIVE HEALTHCARE
WALLA WALLA, WA 99362-8607
Phone number: 509-524-2920
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Mailing Address
-- SHANE LONGMIRE LMHC
PO BOX 959 COMPREHENSIVE HEALTHCARE
YAKIMA, WA 98907-0959
Phone number: 509-575-4084
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