Individual
ANGELA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
100 PARK AVE FL 16, NEW YORK, NY 10017-5538
(631) 428-3199
Mailing address
76 KNOLLWOOD AVE, HUNTINGTON, NY 11743-3431
(631) 428-3199
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
088904
NY
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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