Individual
DENA JO SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
600 WALNUT ST, GREENVILLE, OH 45331-1944
(937) 548-6842
Mailing address
600 WALNUT ST, GREENVILLE, OH 45331-1944
(937) 548-6842
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001704A
IN
Other
Enumeration date
01/23/2023
Last updated
03/20/2024
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