Individual
MRS. ELIZABETH RACHEL SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2761 NW 119TH AVE, PLANTATION, FL 33323-1749
(195) 459-3835
Mailing address
2761 NW 119TH AVE, PLANTATION, FL 33323-1749
(954) 593-8359
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW12904
FL
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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