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1730577073
JEFFREY SHAW
WINSTON SALEM, NC
NPI
1730577073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 20257)
Enumeration Date
2015-01-08
Last Update Date
2015-01-08
Business Address
Mr. JEFFREY SHAW CRC, LCASA
3098 GLEN LAUREL LN
WINSTON SALEM, NC 27107-4454
Phone number: 336-287-5063
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Mailing Address
Mr. JEFFREY SHAW CRC, LCASA
3098 GLEN LAUREL LN
WINSTON SALEM, NC 27107-4454
Phone number: 336-287-5063
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