Individual
DONNA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LCDP, RCS, SAP
Contact information
Practice address
2020 ELMWOOD AVENUE, KENTHOUSE INC, WARWICK, RI 02888
(401) 781-2700
Mailing address
2020 ELMWOOD AVENUE, KENTHOUSE INC, WARWICK, RI 02888
(401) 781-2700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00113
RI
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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