Individual
EMILY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 ADAMS ST UNIT B, VIDALIA, GA 30474-4817
(478) 254-0636
(912) 525-2847
Mailing address
400 ADAMS ST UNIT B, VIDALIA, GA 30474-4817
(478) 254-0636
(912) 525-2847
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003277
GA
Other
Enumeration date
07/06/2021
Last updated
07/07/2021
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