Individual
BILLIE JO M SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
6508 GUNN HIGHWAY, TAMPA, FL 33625-4022
(813) 963-6923
(813) 264-0768
Mailing address
6508 GUNN HIGHWAY, INDEPENDENT LIVING INC, TAMPA, FL 33625-4022
(813) 963-6923
(813) 264-0768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 9448
FL
Other
Enumeration date
03/06/2007
Last updated
01/08/2015
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