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1568861961
MARTY SHAW
CLARKSVILLE, TN
NPI
1568861961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN 0000004430)
Enumeration Date
2014-08-21
Last Update Date
2014-08-21
Business Address
-- MARTY SHAW
1521 DUNBAR CAVE RD
CLARKSVILLE, TN 37043-2100
Phone number: 931-980-4958
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Mailing Address
-- MARTY SHAW
1521 DUNBAR CAVE RD
CLARKSVILLE, TN 37043-2100
Phone number:
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