Individual
JO SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2 SPRINGBROOK DRIVE, BIDDEFORD, ME 04005
(207) 282-1500
(207) 282-7509
Mailing address
52 SCHOOL ST, OLD ORCHARD BEACH, ME 04064-2214
(207) 934-2310
(207) 282-7509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LS2091
ME
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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