Individual
ERICA L SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
314 BETHEL CHURCH RD, GLASGOW, KY 42141-9414
(270) 678-6393
Mailing address
314 BETHEL CHURCH RD, GLASGOW, KY 42141-9414
(270) 678-6393
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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