Individual
LISA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 N MILL ST, NEW CASTLE, PA 16101-3610
(724) 202-6818
Mailing address
4 N MILL ST, NEW CASTLE, PA 16101-3610
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC005463
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7447
PA
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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