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Individual

JAMIE L SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA QMHS

Contact information

Practice address
2587 BACK ORRVILLE RD, WOOSTER, OH 44691-9523
(330) 264-9597
(330) 264-0946
Mailing address
2587 BACK ORRVILLE RD, WOOSTER, OH 44691-9523
(330) 264-9597
(330) 264-0946

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
S2303302TRNE
OH
104100000X
Social Worker
Primary
S2511816
OH
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
02/26/2020
Last updated
01/23/2025
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