Individual
CASSANDRA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
400 JOHNSON ST, ALPENA, MI 49707-1434
(989) 356-2161
Mailing address
400 JOHNSON ST, ALPENA, MI 49707-1434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801107836
MI
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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