Individual
MS. ELISSA LYNN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5015 S IH 35, AUSTIN, TX 73301-2701
(512) 804-3220
(512) 326-1289
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50393
TX
Other
Enumeration date
10/03/2007
Last updated
01/08/2014
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