Individual
MS. ELLEN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. ,LPC
Contact information
Practice address
342 6TH AVE, MT PLEASANT, SC 29464-2810
(843) 276-8906
Mailing address
342 6TH AVE, MT PLEASANT, SC 29464-2810
(843) 276-8906
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4233
SC
Other
Enumeration date
10/15/2006
Last updated
07/08/2007
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