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1003101817
BEVERLY SHAW MACK
HOUSTON, TX
NPI
1003101817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: TX 11758)
Enumeration Date
2011-06-09
Last Update Date
2011-06-09
Business Address
Miss BEVERLY SHAW MACK LBSW
6300 HILLCROFT ST STE 200
HOUSTON, TX 77081-3005
Phone number: 281-460-9590
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Mailing Address
Miss BEVERLY SHAW MACK LBSW
5631 HERON DR
HOUSTON, TX 77033-3131
Phone number: 281-460-9590
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