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Individual

MR. SHAWN ADAM MARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2001 ROUTE 17M, GOSHEN, NY 10924-5241
(845) 294-6185
Mailing address
2001 ROUTE 17M, GOSHEN, NY 10924-5241
(845) 294-6185

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
12/29/2011
Last updated
12/29/2011
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