Individual
ELIZABETH SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
409 OLD BORING LN, WOODSTOCK, GA 30189-2495
(770) 928-7300
Mailing address
3479 HILL FOREST TRL NW, ACWORTH, GA 30101-4488
(678) 641-3870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW006660
GA
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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