Individual
BRIAN D. SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CM
Contact information
Practice address
204 MISSISSIPPI ST S, WYNNE, AR 72396-3025
(870) 208-8499
(870) 208-8044
Mailing address
204 MISSISSIPPI ST S, WYNNE, AR 72396-3025
(870) 208-8499
(870) 208-8044
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5606C
AR
Other
Enumeration date
06/12/2007
Last updated
12/30/2014
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