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1801102017
KARL SHALLOWHORN
BUFFALO, NY
NPI
1801102017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 6506)
Enumeration Date
2010-08-25
Last Update Date
2010-08-25
Business Address
Mr. KARL SHALLOWHORN MS, CASAC
3020 BAILEY AVE
BUFFALO, NY 14215-2814
Phone number: 716-831-0200
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Mailing Address
Mr. KARL SHALLOWHORN MS, CASAC
3020 BAILEY AVE
BUFFALO, NY 14215-2814
Phone number: 716-831-0200
Copy
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