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1689794000
VERNELL SHAW
STOCKTON, CA
NPI
1689794000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA ASW 19507)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
-- VERNELL SHAW ASW
1414 NORTH CALIFORNIA STREET
STOCKTON, CA 95202
Phone number: 209-468-2385
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Mailing Address
-- VERNELL SHAW ASW
1730 S. GRANT STREET
STOCKTON, CA 95206
Phone number: 209-468-1210
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