Shane Liedeke
Shane Liedeke is a Peer Specialist in Cassopolis, Michigan. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1124 AustinCassopolis, MI 49031-8310
Phone: (269) 228-5188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1033971577 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 30, 2024 |
| Last updated in NPPES | January 30, 2024 |
| Certification date | January 30, 2024 |
| Mailing address | 960 M 60 E, Cassopolis, MI 49031-9339 |
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