Individual
MONICA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 ALDER, BROOKINGS, OR 97415
(541) 373-8001
(541) 425-5330
Mailing address
94325 MOORE STE 121, GOLD BEACH, OR 97444
(541) 373-8001
(541) 425-5330
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/04/2016
Last updated
10/20/2016
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