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Individual
SHAWN KENNETH PASCH
Active
Individual
SHAWN KENNETH PASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDCII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.172489
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.162018
OH
Other
Enumeration date
06/03/2020
Last updated
01/29/2025
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