Individual
MS. CAROLINE MARIE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0232
(253) 382-2091
Mailing address
7711 188TH AVE E, BONNEY LAKE, WA 98391-8563
(360) 490-5723
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00004985
WA
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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