Individual
DEBORAH L SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
1608 WELLINGTON AVE, WILMINGTON, NC 28401-7757
(910) 313-3366
(910) 313-3377
Mailing address
1980 ELSIE CIRCLE, LELAND, NC 28451
(910) 540-9897
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5206
NC
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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