Individual
MRS. TIFFANY R SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3310 DAISY MEADOWS LN, BREAUX BRIDGE, LA 70517-6978
(337) 351-7071
Mailing address
PO BOX 84, BREAUX BRIDGE, LA 70517-0084
(337) 351-7071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5141
LA
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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