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1215178926
MARTIN K SHAW
FORT WORTH, TX
NPI
1215178926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 63283)
Enumeration Date
2009-03-11
Last Update Date
2024-06-27
Business Address
Mr. MARTIN K SHAW LPC, LMFT
12650 N BEACH ST STE 114
FORT WORTH, TX 76244-4245
Phone number: 940-432-8631
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Mailing Address
Mr. MARTIN K SHAW LPC, LMFT
4812 MAPLEWOOD AVE
WICHITA FALLS, TX 76308-5312
Phone number: 940-432-8631
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