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1639727209
FAIRY SHAW
LONG BEACH, CA
NPI
1639727209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
FAIRY SHAW AMFT
4700 CLAIR DEL AVE APT 545
LONG BEACH, CA 90807-1329
Phone number: 562-805-3092
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Mailing Address
FAIRY SHAW AMFT
4700 CLAIR DEL AVE APT 545
LONG BEACH, CA 90807-1329
Phone number: 562-805-3092
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