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Individual

MR. CHARLES DEAN SHIPLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1949 SUGARLAND DR, SUITE 218, SHERIDAN, WY 82801-5755
(307) 674-8686
(307) 674-1825
Mailing address
PO BOX 7035, SHERIDAN, WY 82801-7001
(307) 674-8686
(307) 674-1825

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
424
WY

Other

Enumeration date
07/27/2009
Last updated
07/27/2009
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