Individual
MISS CAROLYN RENEE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
308 REYNOLDS AVE, DURHAM, NC 27707-4668
(919) 599-5513
(919) 419-9885
Mailing address
308 REYNOLDS AVE, DURHAM, NC 27707-4668
(919) 599-5513
(919) 419-9885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A11008
NC
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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