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Individual
MR. LONNIE SHIPLEY
Active
Individual
MR. LONNIE SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A042270916
CA
Other
Enumeration date
12/14/2018
Last updated
03/08/2023
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