Shawn Humberson

NPI #1982217790 in Newcastle, Wyoming

Provider Information

NPI Number: 1982217790
Entity Type: Individual
Name: Shawn Humberson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Aug 31, 2020
Last Updated: Feb 18, 2022

Practice Location

Address: 420 DEANNE AVE
City: Newcastle
State: Wyoming
ZIP Code: 82701-2936
Phone: (307) 746-4456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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