Brian Smith Shafer MA

NPI 1073788972 - Counselor - 101YM0800X

NPI Details
NPI 1073788972
Gender Male
Enumeration Date 04/23/2008
Last Updated 04/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
30N MEADOW ST
LITCHFIELD CT, 06759-3503, US
Phone (781) 413-6076
Fax
Business Location
91 NORTHWEST DR
PLAINVILLE CT, 06062-1534, US
Phone
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Brian Smith Shafer MA NPI is 1073788972, taxonomy code is 101YM0800X Brian Smith Shafer MA physically located at 30n Meadow St, Litchfield CT, 06759-3503. NPI Number Brian Smith Shafer MA has the Individual type.

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1073788972 NPI number is provided on an as is basis without warranty of any kind. 1073788972 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Smith Shafer MA are for informational purposes only.