Individual
MRS. REBECCA SHANNON SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
200 CAHABA PARK CIR STE 214, BIRMINGHAM, AL 35242-8113
(205) 903-6282
Mailing address
200 CAHABA PARK CIR STE 214, BIRMINGHAM, AL 35242-8113
(205) 903-6282
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4241
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4241
PRELICENSE
AL
Enumeration date
11/08/2022
Last updated
11/08/2022
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