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Individual

KASSIE C SHEFCEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
210 SHAWNEE ST, KELSO, WA 98626-4015
(360) 200-3769
Mailing address
1128 BROADWAY ST, LONGVIEW, WA 98632-3831
(564) 200-3661

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/08/2022
Last updated
09/09/2022
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