Individual
LORI ANN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
42 DELSEA DR S, GLASSBORO, NJ 08028-2621
(856) 725-4602
Mailing address
42 DELSEA DR S, GLASSBORO, NJ 08028-2621
(856) 422-3632
(856) 881-5508
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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