Individual
ERIK SHAW II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2775 STATE ROUTE 39, SHELBY, OH 44875-9466
(419) 747-3322
Mailing address
44 W RALEIGH AVE, MANSFIELD, OH 44907-1334
(567) 307-5343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.182620
OH
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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