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Individual
MR. SHAWN RICHARD STELLA
Active
Individual
MR. SHAWN RICHARD STELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AC1691
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LGA3348
MD
Other
Enumeration date
04/26/2024
Last updated
08/05/2024
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