Individual
AMY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2526 HIGHWAY 65 S, CLINTON, AR 72031-6657
(501) 745-8007
(501) 745-8220
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2003047
AR
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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