Individual
ALEXANDRA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 LANDER RD, CLEVELAND, OH 44124-5712
(216) 831-2255
Mailing address
3737 LANDER RD, CLEVELAND, OH 44124-5712
(216) 831-2255
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2101957-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2847272
—
OH
Enumeration date
08/30/2021
Last updated
07/08/2022
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