Individual
SHELBY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
671 N ERICSON RD, CORDOVA, TN 38018-1006
(901) 757-7979
Mailing address
671 N ERICSON RD, CORDOVA, TN 38018-1006
(901) 757-7979
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12605
TN
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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