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Individual
ADAM RICHARD SHANTY
Active
Individual
ADAM RICHARD SHANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401222574
MI
101Y00000X
Counselor
—
—
Other
Enumeration date
03/06/2018
Last updated
10/29/2024
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