Individual
ALEXANDER KASPER-SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
491 MAIN ST, ATHOL, MA 01331-1846
(978) 249-3141
Mailing address
4 TERRACE ST, APT 3, MARLBOROUGH, NH 03455
(585) 739-1660
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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