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Individual
MATTHEW SHURE
Active
Individual
MATTHEW SHURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LGP15170
MD
101YM0800X
Mental Health Counselor
Primary
LGP15170
MD
Other
Enumeration date
06/11/2024
Last updated
07/10/2024
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