Susan Shaw's National Provider Identifier (NPI) Details
Susan Shaw, LCSW
NPI: 1225795859
Enumeration Date: 2021-11-18
Last updated: 2021-12-01
Sole Proprietor: NO
Status: active
Postal Address: 1205 22ND AVE, MERIDIAN, MS
Phone: 601-483-2864
Primary Practice Address: 12391 HIGHWAY 491 S, UNION, MS
Practice's phone: 601-513-2476