Individual
JULIE ANN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1464 E WHITESTONE BLVD STE 2201, CEDAR PARK, TX 78613-9080
(281) 635-9628
Mailing address
12601 VELARDE CV, AUSTIN, TX 78729-7317
(281) 635-9628
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
91861
TX
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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