KENNETH SHAW

BROOKLYN, NY
NPI1912088287
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  16758)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
-- KENNETH SHAW CASAC
175 REMSEN ST 10TH FLOOR
BROOKLYN, NY 11201-4300
Phone number: 718-852-5552
Mailing Address
-- KENNETH SHAW CASAC
175 REMSEN ST 10TH FLOOR
BROOKLYN, NY 11201-4300
Phone number: 718-852-5552
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