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Individual
XIYAN SHAO
Active
Individual
XIYAN SHAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SWT BA QMHS CMS
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S1901150
OH
1041C0700X
Clinical Social Worker
Primary
122477
CA
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
OH
Other
Enumeration date
10/16/2019
Last updated
09/26/2025
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