Individual
SARAH CHRISTINE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
9720 S TACOMA WAY, TACOMA, WA 98499-4456
(253) 584-2170
(253) 344-0155
Mailing address
901 N MONROE ST, SUITE 200, SPOKANE, WA 99201-2104
(509) 328-2740
(509) 328-0773
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60407065
WA
103K00000X
Behavior Analyst
Primary
CG60407065
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG60407065
STATE LICENSE
WA
Enumeration date
09/12/2013
Last updated
09/12/2013
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