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1013304591
ELIZABETH SHAW
WACO, TX
NPI
1013304591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 64093)
Enumeration Date
2015-04-22
Last Update Date
2015-04-22
Business Address
-- ELIZABETH SHAW
2121 W WACO DR
WACO, TX 76707-3480
Phone number: 254-235-6542
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Mailing Address
-- ELIZABETH SHAW
2121 W WACO DR
WACO, TX 76707-3480
Phone number: 254-235-6542
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