Individual
HEATHER ANNE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
510 CARPENTER AVE, MOORESVILLE, NC 28115-2512
(704) 663-2115
Mailing address
168 LIMERICK RD UNIT C, MOORESVILLE, NC 28115-0016
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10903
NC
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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