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Individual
DR. SHAWN JOSEPH
Active
Individual
DR. SHAWN JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1.065001
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
1.065001
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
10/11/2022
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