Individual
MS. BARBARA WENDY SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1601 SW ARCHER RD, VAMC, GAINESVILLE, FL 32608-1135
(352) 374-1611
Mailing address
2 GERANIUM CT, HOMOSASSA, FL 34446-5818
(919) 414-0949
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C005351
NC
Other
Enumeration date
01/17/2008
Last updated
07/15/2015
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