Individual
BROOKE A SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, CLC
Contact information
Practice address
10030 MANCHESTER RD, SAINT LOUIS, MO 63122-1832
(314) 714-4137
Mailing address
PO BOX 510384, SAINT LOUIS, MO 63151-0384
(314) 714-4137
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
09/30/2012
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