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Individual

MS. ORA MAE SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LIC. CLINICAL SOCIAL

Contact information

Practice address
4410 WALMSLEY AVE, NEW ORLEANS, LA 70125-3650
(504) 615-5862
(504) 821-7596
Mailing address
PO BOX 53132, NEW ORLEANS, LA 70153-3132
(504) 615-5862
(504) 821-7596

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2875
LCSW
LA
Enumeration date
09/03/2015
Last updated
09/03/2015
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