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1841366630
DANTE SANDLIN SHAW
LAWRENCEVILLE, GA
NPI
1841366630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA 0001314)
Enumeration Date
2006-11-26
Last Update Date
2007-07-08
Business Address
-- DANTE SANDLIN SHAW Ph.D.
750 LONGLEAF BLVD SUITE D
LAWRENCEVILLE, GA 30045-8459
Phone number: 404-556-4226
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Mailing Address
-- DANTE SANDLIN SHAW Ph.D.
2120 LAUREL LAKE DR
SUWANEE, GA 30024-4317
Phone number: 404-556-4226
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