Individual
HEATHER SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3117 MEADOWBROOK BLVD, CLEVELAND HEIGHTS, OH 44118-2849
(419) 685-4428
Mailing address
3117 MEADOWBROOK BLVD, CLEVELAND HEIGHTS, OH 44118-2849
(419) 685-4428
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0001379
OH
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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