Individual
BRENDA K SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
679 S CURTICE LN, PRINCETON, IN 47670-8864
(812) 243-2151
Mailing address
679 S CURTICE LN, PRINCETON, IN 47670-8864
(812) 243-2151
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IN
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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