Individual
JANET C SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 486-1680
Mailing address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 486-1680
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004467
GA
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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