ROGER ALLEN SHAW

BLOOMINGTON, IL
NPI1639373236
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: IL  166.000120)
Enumeration Date2007-06-14
Last Update Date2007-07-08
Business Address
-- ROGER ALLEN SHAW LMFT
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701-1429
Phone number: 309-820-3500
Mailing Address
-- ROGER ALLEN SHAW LMFT
12 RIGGS DR
LINCOLN, IL 62656-1014
Phone number: 217-735-2628