Individual
CHRISTA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2906 N PATTERSON ST, VALDOSTA, GA 31602-1441
(229) 253-1009
Mailing address
2906 N PATTERSON ST, VALDOSTA, GA 31602-1441
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004816
GA
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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