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1235524448
MONICA RENEE SHAW
CORVALLIS, OR
NPI
1235524448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178004386)
Enumeration Date
2015-04-03
Last Update Date
2020-05-05
Business Address
Mrs. MONICA RENEE SHAW LPC
887 NW GRANT AVE
CORVALLIS, OR 97330-4539
Phone number: 541-868-2004
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Mailing Address
Mrs. MONICA RENEE SHAW LPC
401 E 10TH AVE STE 330
EUGENE, OR 97401-3357
Phone number: 541-868-2004
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