Individual
AUTUMN SHAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11883 PERRY HWY, WEXFORD, PA 15090-7353
(724) 987-2993
Mailing address
205 NOEL CREST DR, MARS, PA 16046-7117
(412) 980-6456
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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