Individual
ANDREA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 E 16TH ST, APT. 10G, NEW YORK, NY 10003-3707
(212) 533-5614
Mailing address
200 E 16TH ST, APT. 10G, NEW YORK, NY 10003-3707
(212) 533-5614
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
080980-1
NY
Other
Enumeration date
10/30/2014
Last updated
12/13/2015
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