Individual
CAROLINE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
185 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1521
(336) 725-0222
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 824-1478
(904) 824-8071
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12849
NC
235Z00000X
Speech-Language Pathologist
Primary
SA 13283
FL
Other
Enumeration date
08/29/2014
Last updated
03/22/2018
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