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1932700226
SPENCER SHAVER
LENEXA, KS
NPI
1932700226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
SPENCER SHAVER
8645 HAUSER ST
LENEXA, KS 66215-4507
Phone number: 913-766-1587
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Mailing Address
SPENCER SHAVER
8645 HAUSER ST
LENEXA, KS 66215-4507
Phone number:
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