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Individual
MS. SHAVERENCE LAWANDA OUTLAW
Active
Individual
MS. SHAVERENCE LAWANDA OUTLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LRT/CTRS
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P023427
NC
225800000X
Recreation Therapist
3879
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3879
NCBRTL
NC
01
—
80617
CTRS
—
Enumeration date
01/29/2020
Last updated
06/17/2026
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