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Individual

MS. LIZA MERRILL SHAW

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MA, LMFT, ACHT

Contact information

Practice address
926 2ND ST NE, SUITE 103, HICKORY, NC 28601-3869
(828) 302-2978
(828) 328-4673
Mailing address
926 2ND ST NE, SUITE 103, HICKORY, NC 28601-3869
(828) 302-2978
(828) 328-4673

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1025
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
136EN
BCBS PROVIDER ID
NC
Enumeration date
05/31/2006
Last updated
07/08/2007
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