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Individual
MR. SHANE ANDREW WESTERBERG
Active
Individual
MR. SHANE ANDREW WESTERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA,, L.C.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.007436
IL
Other
Enumeration date
08/30/2011
Last updated
02/18/2015
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