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Organization
JOHN ROBERT SHAW
Active
Organization
JOHN ROBERT SHAW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY S GALLEGOS (BILLING MANAGER)
(517) 483-2461
Entity
Organization
Contact information
Practice address
601 ABBOT RD STE 103, EAST LANSING, MI 48823-3366
(517) 574-4197
(517) 574-4201
Mailing address
601 ABBOT RD STE 103, EAST LANSING, MI 48823-3366
(517) 574-4197
(517) 574-4201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801092069
MI
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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