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1841832276
KEITH LEWIS SHAWLEY
ALTOONA, PA
NPI
1841832276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-17
Last Update Date
2019-10-17
Business Address
KEITH LEWIS SHAWLEY BS
500 E CHESTNUT AVE
ALTOONA, PA 16601-5215
Phone number: 800-445-6262
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Mailing Address
KEITH LEWIS SHAWLEY BS
1540 DECKER COURT LN
ALTOONA, PA 16601-8854
Phone number: 814-327-9497
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