Individual
SHAWN PAIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPMFT
Contact information
Practice address
444 S SALINA ST UNIT 186, SYRACUSE, NY 13201-2108
(929) 269-8915
Mailing address
22822 141ST AVE, LAURELTON, NY 11413-2907
(929) 410-7704
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
06-P132800-01
NY
Other
Enumeration date
11/23/2024
Last updated
11/23/2024
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