Individual
MR. GARY MARSHALL SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1511 W SAINT JOHNS AVE, AUSTIN, TX 78757-1819
(512) 206-0837
Mailing address
1511 W SAINT JOHNS AVE, AUSTIN, TX 78757-1819
(512) 206-0837
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24493
TX
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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