Individual
URSULA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10105 PLANK RD. STE A, CLINTON, LA 70722
(225) 244-7026
Mailing address
10105 PLANK RD STE A, CLINTON, LA 70722-3707
(225) 244-7026
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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