Individual
MRS. JENNIFER LEA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
215 E 4TH ST, WATERLOO, IA 50703-4701
(319) 236-7290
(319) 235-4875
Mailing address
2019 WESTVIEW AVE, WATERLOO, IA 50701-3719
(319) 610-1612
(319) 235-3069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06198
IA
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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