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1598223810
KATHLEEN RIANE SHAW
EVERETT, WA
NPI
1598223810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG61446169)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-03-05
Last Update Date
2023-06-13
Business Address
KATHLEEN RIANE SHAW
811 MADISON ST
EVERETT, WA 98203-4543
Phone number: 425-212-4200
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Mailing Address
KATHLEEN RIANE SHAW
PO BOX 2569
EVERETT, WA 98213-0569
Phone number: 425-212-4200
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