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1669667911
GARY MARSHALL SHAW
AUSTIN, TX
NPI
1669667911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 24493)
Enumeration Date
2007-09-10
Last Update Date
2007-09-10
Business Address
Mr. GARY MARSHALL SHAW LCSW
1511 W SAINT JOHNS AVE
AUSTIN, TX 78757-1819
Phone number: 512-206-0837
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Mailing Address
Mr. GARY MARSHALL SHAW LCSW
1511 W SAINT JOHNS AVE
AUSTIN, TX 78757-1819
Phone number: 512-206-0837
Copy
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