Individual
LIANNA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
607 N JEROME AVE, MARGATE CITY, NJ 08402-1527
(609) 464-3394
Mailing address
607 N JEROME AVE, MARGATE CITY, NJ 08402-1527
(609) 464-3394
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FI00193100
NJ
106H00000X
Marriage & Family Therapist
81286
CA
Other
Enumeration date
05/27/2014
Last updated
04/29/2020
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