JEFFREY SHAW

WINSTON SALEM, NC
NPI1730577073
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  20257)
Enumeration Date2015-01-08
Last Update Date2015-01-08
Business Address
Mr. JEFFREY SHAW CRC, LCASA
3098 GLEN LAUREL LN
WINSTON SALEM, NC 27107-4454
Phone number: 336-287-5063
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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