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Individual

MRS. LORI ANN SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
1730 BELMONT, PARSONS, KS 67357-0258
(620) 421-3770
(620) 421-0665
Mailing address
1730 BELMONT, PO BOX 258, PARSONS, KS 67357-0258
(620) 421-3770
(620) 421-0665

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2382
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070628
BLUE CROSS BLUE SHIELD
KS
01
207967
GREAT WEST HEALTH PARTNER
KS
01
564220
VALUE OPTION INC
VA
Enumeration date
11/09/2006
Last updated
07/08/2007
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