Individual
RITA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
520 11TH ST NW, CEDAR RAPIDS, IA 52405-3811
(319) 398-3562
(319) 398-3501
Mailing address
520 11TH ST NW, CEDAR RAPIDS, IA 52405-3811
(319) 398-3562
(319) 398-3501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008007
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074575
—
IA
Enumeration date
10/19/2012
Last updated
10/19/2012
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