JEREMIAH LAWRENCE SHAW

SAN DIEGO, CA
NPI1457542870
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-08-09
Last Update Date2007-08-09
Business Address
-- JEREMIAH LAWRENCE SHAW
2155 FELSPAR ST APT 1
SAN DIEGO, CA 92109-3624
Phone number: 646-251-2486
Mailing Address
-- JEREMIAH LAWRENCE SHAW
2155 FELSPAR ST APT 1
SAN DIEGO, CA 92109-3624
Phone number: 646-251-2486
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