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Individual
SHAYEN A. GEORGE
Active
Individual
SHAYEN A. GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.,
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0001543
OH
103T00000X
Psychologist
PS002965L
PA
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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