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Organization

SHAW FOSTER HOMES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHRISTY L. SHAW (PROGRAM DIRECTOR)
(775) 826-7474
Entity
Organization

Contact information

Practice address
580 E PLUMB LN, RENO, NV 89502-3504
(775) 826-7474
(775) 826-7478
Mailing address
580 E PLUMB LN, RENO, NV 89502-3504
(775) 826-7474
(775) 826-7478

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3035C
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09921000032
NV
05
100507800
NV
Enumeration date
03/31/2008
Last updated
03/31/2008
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