Individual
MRS. MICHELE L. SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
1700 S 24TH ST, LINCOLN, NE 68502-3056
(402) 435-2273
(402) 435-2274
Mailing address
1700 S 24TH ST, LINCOLN, NE 68502-3056
(402) 435-2273
(402) 435-2274
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1305
NE
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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