Individual
DOTRI SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 SCHOOL ST, COLUMBIA, TN 38401-3108
(931) 490-1460
Mailing address
801 SCHOOL ST, COLUMBIA, TN 38401-3108
(931) 490-1460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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