Individual
SARAH MARIE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRC
Contact information
Practice address
2091 PROFESSIONAL DRIVE, FLINT, MI 48532
(810) 732-1652
Mailing address
1072 W WHITTEMORE AVE, FLINT, MI 48507
(810) 293-6770
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/27/2018
Last updated
04/02/2024
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