Organization
ANDREA B. SHAW, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA BETH SHAW LCSW (SOLE PROPRIETOR)
(618) 520-6963
Entity
Organization
Contact information
Practice address
552 EDWARDSVILLE ROAD, TROY, IL 62294
(618) 520-6963
(618) 667-7609
Mailing address
P.O. BOX 416, TROY, IL 62294
(618) 520-6963
(618) 667-7609
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
01/08/2019
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