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Individual

DR. DAVID JONATHAN SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., LPC, CCDP

Contact information

Practice address
519 QUIGLEY AVE, WILLOW GROVE, PA 19090-3609
(215) 657-1416
(215) 657-0679
Mailing address
519 QUIGLEY AVE, WILLOW GROVE, PA 19090-3609
(215) 657-1416
(215) 657-0679

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC002748
PA

Other

Enumeration date
01/31/2007
Last updated
07/08/2007
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