Individual
IMANI SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3985 ARKWRIGHT RD STE 106, MACON, GA 31210-1775
(478) 477-2070
(478) 474-0170
Mailing address
3985 ARKWRIGHT RD STE 106, MACON, GA 31210-1775
(478) 477-2070
(478) 474-0170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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