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1245639251
BRECKNEY SHAW
OAKLAND, CA
NPI
1245639251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF81482)
Enumeration Date
2014-08-14
Last Update Date
2014-08-14
Business Address
-- BRECKNEY SHAW
3800 COOLIDGE AVE
OAKLAND, CA 94602-3311
Phone number: 510-482-2244
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Mailing Address
-- BRECKNEY SHAW
752-1 CITY WALK PLACE
HAYWARD, CA 94541
Phone number:
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