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1013260173
CARINA MARIE SHAW
UPLAND, CA
NPI
1013260173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-10-25
Last Update Date
2023-01-11
Business Address
CARINA MARIE SHAW M.P.A., CADC III
1260 E ARROW HWY BLDG E
UPLAND, CA 91786-4984
Phone number: 909-932-1069
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Mailing Address
CARINA MARIE SHAW M.P.A., CADC III
5870 ARLINGTON AVE
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6596
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