| NPI | 1396919981 |
|---|---|
| Former Legal Business Name | LINDA M SHAKE |
| Entity Type | Organization |
| Authorized Contact | LINDA M. SHAKE Owner 361-985-1541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 2652) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |