Individual
DEENA ANN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
204 MISSISSIPPI ST S, WYNNE, AR 72396-3025
(870) 208-8499
(870) 208-8044
Mailing address
204 MISSISSIPPI ST S, WYNNE, AR 72396-3025
(870) 208-8499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1005061
AR
Other
Enumeration date
02/20/2013
Last updated
01/09/2024
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