Individual
MS. CAROLE JEAN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
20702 82ND AVE W, EDMONDS, WA 98026-6723
(425) 478-8111
Mailing address
6817 208TH ST SW # 5963, LYNNWOOD, WA 98036-5800
(425) 478-8111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
60199495
WA
1041C0700X
Clinical Social Worker
Primary
LW60199495
WA
1041C0700X
Clinical Social Worker
—
WA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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