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Individual

MS. LEANN REESE SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1911 MAIN AVE, SUITE 248, DURANGO, CO 81301-5078
(970) 903-4607
(970) 469-7221
Mailing address
1911 MAIN AVE, SUITE 248, DURANGO, CO 81301-5078
(970) 903-4607
(970) 469-7221

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
978

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
978
LMFT
CO
Enumeration date
02/23/2007
Last updated
09/04/2015
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