Individual
EILEEN BRODY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LC, LAPC
Contact information
Practice address
4536 BARCLAY DR, SUITE A, ATLANTA, GA 30338-7145
(770) 458-8711
(770) 458-8640
Mailing address
4536 BARCLAY DRIVE, SUITE A, ATLANTA, GA 30338
(770) 458-8711
(770) 458-8640
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC002229
GA
133V00000X
Registered Dietitian
LD000428
GA
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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