LUCAS BLAINE SHAW

ATASCADERO, CA
NPI1306138532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY 24101)
Enumeration Date2011-05-05
Last Update Date2011-05-05
Business Address
-- LUCAS BLAINE SHAW PhD
10333 EL CAMINO REAL
ATASCADERO, CA 93422-5808
Phone number: 805-468-3612
Mailing Address
-- LUCAS BLAINE SHAW PhD
1600 9TH ST STE 205
SACRAMENTO, CA 95814-6435
Phone number: 916-654-2431
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