Shane Duty's National Provider Identifier (NPI) Details
Shane Duty, LPC
NPI: 1295454544
Enumeration Date: 2022-08-22
Last updated: 2022-08-22
Sole Proprietor: NO
Status: active
Postal Address: 1225 W BACALL ST, MERIDIAN, ID
Phone: 208-407-8014
Primary Practice Address: 1225 W BACALL ST, MERIDIAN, ID
Practice's phone: 208-407-8014