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Individual
SHANELLE M BERRY
Active
Individual
SHANELLE M BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAC, CPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60855920
WA
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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