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1962068650
KELLY GRACE SHAW
EUGENE, OR
NPI
1962068650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-05-17
Last Update Date
2023-11-14
Business Address
KELLY GRACE SHAW MS, LPC, NCC
770 E 11TH AVE FL SSB2
EUGENE, OR 97401-3746
Phone number: 458-205-7085
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Mailing Address
KELLY GRACE SHAW MS, LPC, NCC
PO BOX 18
VIDA, OR 97488-0018
Phone number: 541-771-1017
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