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1700011988
SUSAN CAROL SHAW
FRESNO, CA
NPI
1700011988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-05-18
Last Update Date
2009-05-18
Business Address
Ms. SUSAN CAROL SHAW
2772 MARTIN LUTHER KING BLVD.
FRESNO, CA 93706
Phone number: 559-265-4800
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Mailing Address
Ms. SUSAN CAROL SHAW
4817 E CLINTON AVE
FRESNO, CA 93703-2808
Phone number: 559-265-4800
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