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Individual
MR. FREDERICK MARTIN SHAVER
Active
Individual
MR. FREDERICK MARTIN SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHCA.MC.70121001
WA
225700000X
Massage Therapist
MA60546268
WA
Other
Enumeration date
06/13/2016
Last updated
07/22/2026
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