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1942702816
ADAM RICHARD SHANTY
GRAND HAVEN, MI
NPI
1942702816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: MI 6401222574)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2018-03-06
Last Update Date
2024-10-29
Business Address
ADAM RICHARD SHANTY LPC
41 WASHINGTON AVE STE 308
GRAND HAVEN, MI 49417-1587
Phone number: 616-414-4962
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Mailing Address
ADAM RICHARD SHANTY LPC
1524 SLAYTON AVE
GRAND HAVEN, MI 49417-2039
Phone number: 616-402-4502
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