Individual
ANDREA MICHELE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
909 VINE ST, CINCINNATI, OH 45202-1105
(513) 977-6829
Mailing address
412 SWAN CIR, ELSMERE, KY 41018-1940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1800995-SUPV
OH
1041C0700X
Clinical Social Worker
34008643A
IN
Other
Enumeration date
10/01/2019
Last updated
01/19/2022
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