Individual
MRS. ANGELA JOY SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 BURDICK EXPY E, MINOT, ND 58701-5032
(701) 839-8887
Mailing address
2000 BURDICK EXPY E, MINOT, ND 58701-5032
(701) 839-8887
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3876
ND
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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