MICAH MCKEAN SHAW

SAN LUIS OBISPO, CA
NPI1184270076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-08-15
Last Update Date2019-08-15
Business Address
MICAH MCKEAN SHAW
1720 BISHOP ST
SAN LUIS OBISPO, CA 93401-4691
Phone number: 805-544-0801
Mailing Address
MICAH MCKEAN SHAW
1720 BISHOP ST
SAN LUIS OBISPO, CA 93401-4691
Phone number: 805-544-0801
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