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Individual
GREGORY GLADE SHAW
Active
Individual
GREGORY GLADE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
UT
390200000X
Student in an Organized Health Care Education/Training Program
390200000
UT
Other
Enumeration date
08/15/2013
Last updated
06/15/2022
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