DIANNE SHAW

SAN PEDRO, CA
NPI1730743253
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  1911768)
Enumeration Date2019-04-30
Last Update Date2024-07-03
Business Address
DIANNE SHAW
505 S PACIFIC AVE
SAN PEDRO, CA 90731-2656
Phone number: 310-519-8723
Mailing Address
DIANNE SHAW
10425 PAINTER AVE
SANTA FE SPRINGS, CA 90670-3429
Phone number:
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