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Individual
SHANNON E WAMPLER
Active
Individual
SHANNON E WAMPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
34005840A
IN
Other
Enumeration date
02/20/2008
Last updated
10/14/2009
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