Individual
MRS. DIANNA MARIE HORR SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 ASPEN WAY, BRADFORD, PA 16701-4102
(814) 362-1576
Mailing address
1 ASPEN WAY, BRADFORD, PA 16701-4102
(814) 362-1576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC004950
PA
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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