Earl Merrill Shaw, LSAC

NPI #1154441863 in Nephi, Utah

Provider Information

NPI Number: 1154441863
Entity Type: Individual
Name: Earl Merrill Shaw, LSAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LSAC
Enumeration Date: Mar 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 656 N MAIN ST
City: Nephi
State: Utah
ZIP Code: 84648-1123
Phone: (435) 623-1456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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