Individual
ELSA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, CAS-P
Contact information
Practice address
1407 E 5TH ST, LUMBERTON, NC 28358-6007
(910) 739-1468
Mailing address
450 COUNTRY CLUB RD, LUMBERTON, NC 28360-9494
(910) 272-1285
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
05/12/2009
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