Individual
MRS. MAILEE SUSANNE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2298 W HORIZON RIDGE PKWY STE 108, HENDERSON, NV 89052
(702) 370-0784
Mailing address
11086 AFRICAN SUNSET ST, HENDERSON, NV 89052-8615
(702) 370-0784
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
01274
NV
106H00000X
Marriage & Family Therapist
MI0282
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568746923
—
NV
Enumeration date
10/04/2011
Last updated
06/27/2019
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