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Individual
MR. BRIAN KENNETH SHAW
Active
Individual
MR. BRIAN KENNETH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, LMHP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1275
NE
101YM0800X
Mental Health Counselor
2826
NE
1041C0700X
Clinical Social Worker
1142
NE
Other
Enumeration date
01/27/2010
Last updated
07/22/2026
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