Individual
MRS. BEULAH BRAWNER SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCCSLP
Contact information
Practice address
728 KLUMAC RD, APT 125B, SALISBURY, NC 28144-5720
(704) 636-5086
(704) 636-7286
Mailing address
728 KLUMAC RD, APT 125B, SALISBURY, NC 28144-5720
(704) 636-5086
(704) 636-7286
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6702
NC
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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