Individual
CAROL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 HELTON DRIVE, FLORENCE, AL 35630
(256) 765-2230
(256) 765-2084
Mailing address
2868 ACTON ROAD, BIRMINGHAM, AL 35243
(215) 968-8360
(205) 968-8373
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1608
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51512138
BCBS
AL
Enumeration date
06/28/2006
Last updated
07/08/2007
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