Individual
BRUNETTE P SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1641 PAYNE AVE, CLEVELAND, OH 44114-2919
(216) 987-8954
Mailing address
6753 STATE RD, PARMA, OH 44134-4517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.1903617
OH
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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