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1275165409
CHARLETT SHAW
BURBANK, CA
NPI
1275165409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 6983)
Enumeration Date
2020-02-05
Last Update Date
2023-11-27
Business Address
CHARLETT SHAW
1201 S VICTORY BLVD STE 206
BURBANK, CA 91502-2552
Phone number: 310-853-3638
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Mailing Address
CHARLETT SHAW
1201 S VICTORY BLVD STE 206
BURBANK, CA 91502-2552
Phone number: 310-853-3638
Copy
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