SAGE BRADLEY SHAW

OTTAWA, KS
NPI1801554779
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: KS  03100-T)
Enumeration Date2021-12-07
Last Update Date2021-12-07
Business Address
SAGE BRADLEY SHAW LMLP-T
109 W 2ND ST STE A
OTTAWA, KS 66067-2212
Phone number: 785-242-2991
Mailing Address
SAGE BRADLEY SHAW LMLP-T
1953 RENO RD
OTTAWA, KS 66067-8754
Phone number: 785-214-9338
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