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1164112785
GARRETT SHAW
ENCINO, CA
NPI
1164112785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-05-08
Last Update Date
2023-05-08
Business Address
GARRETT SHAW
15720 VENTURA BLVD
ENCINO, CA 91436-2914
Phone number: 818-927-0478
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Mailing Address
GARRETT SHAW
1444 ROXBURY DR
LOS ANGELES, CA 90035-2815
Phone number: 310-279-0816
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