Individual
ANDREA L SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1611 TOWNE DR, COLUMBIA, MO 65202-2339
(573) 474-6600
(573) 474-5992
Mailing address
1611 TOWNE DR, COLUMBIA, MO 65202-2339
(573) 474-6600
(573) 474-5992
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009030455
MO
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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