Individual
ROSELINE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10610 FORD AVE, RICHMOND HILL, GA 31324-5976
(908) 239-7491
Mailing address
325 WATERWAYS PKWY S, RICHMOND HILL, GA 31324-8603
(908) 239-7491
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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