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Organization
TRANSITIONAL LIFE COUNSELING
Active
Organization
TRANSITIONAL LIFE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSE MARY SHAW PSYD (CLINICAL PSYCHOLOGIST/OWNER)
(937) 769-5019
Entity
Organization
Contact information
Practice address
1525 XENIA AVE, YELLOW SPRINGS, OH 45387-1123
(937) 769-5019
(937) 769-5019
Mailing address
1525 XENIA AVE, YELLOW SPRINGS, OH 45387-1123
(937) 769-5019
(937) 769-5019
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0600045
OH
103TC0700X
Clinical Psychologist
6323
OH
Other
Enumeration date
01/20/2017
Last updated
12/04/2017
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