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Individual

SHAUNDRA K PATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
PO BOX 27, VERNAL, UT 84078-0001
(720) 934-6028
Mailing address
PO BOX 27, VERNAL, UT 84078-0001

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC.0015331
CO
101YP2500X
Professional Counselor
Primary
PPC-896
WY
103K00000X
Behavior Analyst

Other

Enumeration date
11/10/2014
Last updated
06/18/2026
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