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1700668985
JOHN FREDERICK SHAW
PROVIDENCE, RI
NPI
1700668985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: RI 00229)
Enumeration Date
2023-10-20
Last Update Date
2023-10-20
Business Address
JOHN FREDERICK SHAW
69 FREMONT ST
PROVIDENCE, RI 02906-3840
Phone number: 401-601-3144
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Mailing Address
JOHN FREDERICK SHAW
69 FREMONT ST
PROVIDENCE, RI 02906-3840
Phone number:
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