Individual
AUDREY B SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
8104 SEATON PL, MONTGOMERY, AL 36116-7204
(334) 272-3889
(334) 272-4089
Mailing address
8104 SEATON PL, MONTGOMERY, AL 36116-7204
(334) 272-3889
(334) 272-4089
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C3364A
AL
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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