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1104997568
BEVERLY L. SHAW
LOS ANGELES, CA
NPI
1104997568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA MFC209661)
Enumeration Date
2006-11-10
Last Update Date
2007-07-08
Business Address
-- BEVERLY L. SHAW Ph. D.
1722 WESTWOOD BLVD STE 103
LOS ANGELES, CA 90024-5637
Phone number: 310-470-2247
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Mailing Address
-- BEVERLY L. SHAW Ph. D.
1768 GLENDON AVE #1
LOS ANGELES, CA 90024-5740
Phone number: 310-470-9422
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