Individual
ANSLEY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
506 GORDON AVE, THOMASVILLE, GA 31792-6646
(229) 227-1433
(229) 226-6353
Mailing address
506 GORDON AVE, THOMASVILLE, GA 31792-6646
(229) 227-1433
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00108
GA
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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