Individual
MS. TIARA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3542 BROOKSTONE DR APT C, CINCINNATI, OH 45209-1171
(513) 570-0872
Mailing address
9420 TOWNE SQUARE AVE, BLUE ASH, OH 45242-6922
(513) 399-2214
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
FSP000256
OH
Other
Enumeration date
08/21/2023
Last updated
03/31/2025
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