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1588267751
ADAM LEE SHAW
SPRINGFIELD, MO
NPI
1588267751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MO RBT-20-139772)
Enumeration Date
2020-11-19
Last Update Date
2020-11-19
Business Address
ADAM LEE SHAW
3048 S CLIFTON AVE STE 112
SPRINGFIELD, MO 65807-6045
Phone number: 417-818-5784
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Mailing Address
ADAM LEE SHAW
3048 S CLIFTON AVE STE 112
SPRINGFIELD, MO 65807-6045
Phone number: 417-818-5784
Copy
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