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Organization
LEE SHAW JR, LLC
Active
Organization
LEE SHAW JR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE SHAW JR. LMFT (OWNER)
(951) 500-9658
Entity
Organization
Contact information
Practice address
6809 INDIANA AVE STE 166, RIVERSIDE, CA 92506-4221
(951) 500-9658
Mailing address
6809 INDIANA AVE STE 166, RIVERSIDE, CA 92506-4221
(951) 500-9658
(951) 346-5601
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
97306
CA
Other
Enumeration date
12/16/2017
Last updated
11/05/2018
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