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Individual

RICHARD A SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
520 TALBOTT ST, SUITE 3, IOWA FALLS, IA 50126-2379
(641) 648-6491
(641) 648-7088
Mailing address
520 TALBOTT ST, SUITE 3, IOWA FALLS, IA 50126-2379
(641) 648-6491
(641) 648-7088

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00044
IA

Other

Enumeration date
04/17/2007
Last updated
07/08/2007
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