Individual
MRS. CANDACE MARIE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1701 N CENTRAL AVE, MONETT, MO 65708
(417) 235-6610
(417) 236-0340
Mailing address
PO BOX 100, PIERCE CITY, MO 65723-2100
(417) 476-1000
(417) 476-1082
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019011822
MO
Other
Enumeration date
04/17/2019
Last updated
07/25/2023
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