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1982217790
SHAWN HUMBERSON
NEWCASTLE, WY
NPI
1982217790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WY ICPR-008)
Enumeration Date
2020-08-31
Last Update Date
2022-02-18
Business Address
SHAWN HUMBERSON
420 DEANNE AVE
NEWCASTLE, WY 82701-2936
Phone number: 307-746-4456
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Mailing Address
SHAWN HUMBERSON
909 LONG DR STE C
SHERIDAN, WY 82801-3282
Phone number: 307-672-8958
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