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1124400510
BENJAMIN ALLEN SHAW
DUBUQUE, IA
NPI
1124400510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IA 007817)
Enumeration Date
2015-06-23
Last Update Date
2023-08-10
Business Address
MR. BENJAMIN ALLEN SHAW L.I.S.W.
1690 ELM ST STE 300
DUBUQUE, IA 52001-3679
Phone number: 563-690-2850
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Mailing Address
MR. BENJAMIN ALLEN SHAW L.I.S.W.
1690 ELM ST STE 300
DUBUQUE, IA 52001-3679
Phone number: 563-690-2850
Copy
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