Individual
BARBARA I SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, MHP
Contact information
Practice address
3410 W ROOSEVELT RD, CHICAGO, IL 60624-4343
(773) 741-9313
Mailing address
3410 W ROOSEVELT RD, CHICAGO, IL 60624-4343
(773) 741-9313
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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