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1821457557
GREG SHANK
SPRINGFIELD, MO
NPI
1821457557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2002002751)
Enumeration Date
2016-02-23
Last Update Date
2016-09-22
Business Address
-- GREG SHANK
1212 W LOMBARD
SPRINGFIELD, MO 65806
Phone number: 417-865-1646
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Mailing Address
-- GREG SHANK
1212 W LOMBARD
SPRINGFIELD, MO 65806
Phone number:
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