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Individual

ABBY MICHELLE SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3737 LANDER RD, PEPPER PIKE, OH 44124-5712
(216) 831-2255
Mailing address
477 JUNEWAY DR, BAY VILLAGE, OH 44140-2604
(216) 780-5180

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
171M00000X
Case Manager/Care Coordinator
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2871101
OH
Enumeration date
08/24/2022
Last updated
07/15/2025
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