Individual
EMILY LOUISE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 BENNETT AVE, MEDFORD, OR 97504-6715
(541) 423-2667
(541) 930-5663
Mailing address
815 BENNETT AVE, MEDFORD, OR 97504-6715
(541) 423-2667
(541) 930-5663
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
01/02/2026
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