Individual
JOHN FREDERICK SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
69 FREMONT ST, PROVIDENCE, RI 02906-3840
(401) 601-3144
Mailing address
69 FREMONT ST, PROVIDENCE, RI 02906-3840
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
00229
RI
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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