Individual
MS. HEIDI NICOLE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9440 SANTA MONICA BLVD STE 301, BEVERLY HILLS, CA 90210-4614
(323) 931-6025
(323) 931-6027
Mailing address
12101 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5501
(310) 751-1127
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW11434
CA
Other
Enumeration date
03/28/2007
Last updated
06/03/2024
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