Individual
DR. JACQUELINE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
633 WEATHERVANE WAY, ROCKY MOUNT, NC 27803-8736
(252) 451-0148
Mailing address
633 WEATHERVANE WAY, ROCKY MOUNT, NC 27803-8736
(252) 451-0148
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8086
NC
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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