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1255567780
JUSTIN SHAW ANDERSON
VALDOSTA, GA
NPI
1255567780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW003946)
Enumeration Date
2009-06-10
Last Update Date
2010-03-19
Business Address
Mr. JUSTIN SHAW ANDERSON LCSW
1810 PLUM ST STE F
VALDOSTA, GA 31601-7583
Phone number: 229-241-8995
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Mailing Address
Mr. JUSTIN SHAW ANDERSON LCSW
1810 PLUM ST STE F
VALDOSTA, GA 31601-7583
Phone number: 229-241-8995
Copy
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