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1700546074
JESSICA SHAW
KINGSTON, NY
NPI
1700546074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 090962)
Enumeration Date
2021-12-28
Last Update Date
2021-12-28
Business Address
Mrs. JESSICA SHAW LCSW
260 KINGS MALL CT # 167
KINGSTON, NY 12401-1574
Phone number: 845-237-3977
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Mailing Address
Mrs. JESSICA SHAW LCSW
260 KINGS MALL CT # 167
KINGSTON, NY 12401-1574
Phone number: 845-237-3977
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