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Individual

CHRISTINE R SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LISW-S

Contact information

Practice address
520 YOUNGSTOWN POLAND RD, STRUTHERS, OH 44471-1103
(330) 318-3078
(330) 385-3588
Mailing address
1364 HOMESTEAD DR, EAST LIVERPOOL, OH 43920-9140
(330) 853-0570
(330) 385-3588

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
S0700273
OH
1041C0700X
Clinical Social Worker
Primary
I.1600748-SUPV
OH

Other

Enumeration date
07/23/2013
Last updated
05/17/2019
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