Individual
SARA K SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 N BYRON BUTLER PKWY, PERRY, FL 32347-2315
(850) 329-5776
(888) 974-6195
Mailing address
PO BOX 1726, PERRY, FL 32348-7305
(850) 329-5776
(888) 974-6195
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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