JASON THOMAS SHAW

TECUMSEH, MI
NPI1053065797
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC1900X Psychologist, Counseling
(Licence: MI  6362009479)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2022-02-11
Last Update Date2022-02-14
Business Address
Mr. JASON THOMAS SHAW
407 S OCCIDENTAL RD
TECUMSEH, MI 49286-1611
Phone number: 734-335-0877
Mailing Address
Mr. JASON THOMAS SHAW
6530 SECOR RD STE 10
LAMBERTVILLE, MI 48144-9456
Phone number: 734-854-7061
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