Individual
BRANDI SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LCADC
Contact information
Practice address
4 PRINCESS RD STE 206, LAWRENCEVILLE, NJ 08648-2322
(609) 482-3701
Mailing address
46 NORTH ST, ROBBINSVILLE, NJ 08691-4125
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
44SL07143600
NJ
Other
Enumeration date
01/23/2014
Last updated
11/05/2024
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