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Individual

KAREN SHIVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2621 E JEFFERSON ST, WARSAW, IN 46580-3880
(574) 936-9646
Mailing address
2621 E JEFFERSON ST, WARSAW, IN 46580-3880

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
34007325A
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/30/2024
Last updated
10/30/2024
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