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1497280184
ALTHEA SHAW
BASTROP, LA
NPI
1497280184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-05-01
Last Update Date
2017-05-01
Business Address
-- ALTHEA SHAW
209 W JEFFERSON AVE
BASTROP, LA 71220-4543
Phone number: 318-239-3890
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Mailing Address
-- ALTHEA SHAW
209 W JEFFERSON AVE
BASTROP, LA 71220-4543
Phone number: 318-239-3890
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