Individual
MR. GEORGE FREDERICK SHAW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1011 10TH AVE SE, OLYMPIA, WA 98501-1566
(707) 292-0061
Mailing address
1202 BLACK LAKE BLVD SW, OLYMPIA, WA 98502-7207
(360) 878-8248
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
10/28/2022
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