Individual
RENEE MICHELLE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1001 W WORLEY ST, COLUMBIA, MO 65203-2037
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2019032908
MO
1041C0700X
Clinical Social Worker
Primary
2021040797
MO
Other
Enumeration date
10/16/2020
Last updated
10/12/2021
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