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1427665231
JORDAN G SHAW
AUGUSTA, ME
NPI
1427665231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ME CC7004)
Enumeration Date
2020-09-25
Last Update Date
2024-07-19
Business Address
Mr. JORDAN G SHAW LCPC
275 NORTHERN AVE
AUGUSTA, ME 04330-3928
Phone number: 207-402-4530
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Mailing Address
Mr. JORDAN G SHAW LCPC
93 SILVER ST BLDG 6
WATERVILLE, ME 04901-5923
Phone number: 207-877-9435
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