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1144098781
CHERIE R SHAW
GRAND PRAIRIE, TX
NPI
1144098781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 66592)
Enumeration Date
2023-12-13
Last Update Date
2025-01-24
Business Address
CHERIE R SHAW LCDC-M.S, QMHP
2100 N HWY 360 STE 1904
GRAND PRAIRIE, TX 75050-1040
Phone number: 469-460-7090
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Mailing Address
CHERIE R SHAW LCDC-M.S, QMHP
715 N FIELDER RD
ARLINGTON, TX 76012-4695
Phone number: 817-962-0409
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